MRS. ANGELINA ADINA RIBACOFF
NPI 1629323704
Student in an Organized Health Care Education/Training Program in Douglaston, NY

Active since July 16, 2012PECOS Enrolled
24302 NORTHERN BLVD, DOUGLASTON, NY 11362(718) 423-6200 Get Directions Write a Review

NPPES record last updated: July 16, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Angelina Adina Ribacoff NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. ANGELINA ADINA RIBACOFF (NPI 1629323704) is an individual student in an organized health care education/training program in Douglaston, New York and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629323704
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMRS. ANGELINA ADINA RIBACOFF
Location Address24302 NORTHERN BLVDDouglaston, NY 11362-1150
Mailing Address405 Daub AveHewlett, NY 11557-1136 · (516) 295-1626
Sole ProprietorYes
Enumeration DateJuly 16, 2012
✔ NPI 1629323704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
24302 NORTHERN BLVD, Douglaston, NY 11362

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Angelina Adina Ribacoff is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Angelina Ribacoff reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health (Including Community Mental Health Center)
232 N MAIN ST
Spring Valley, NY 10977
  • Reassigned Medicare billing, New York enrollment
  • 18 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
24302 NORTHERN BLVD
DOUGLASTON, NY 11362
Psychologist (Clinical)
24302 NORTHERN BLVD
DOUGLASTON, NY 11362
Social Worker
24302 NORTHERN BLVD
DOUGLASTON, NY 11362
Student in an Organized Health Care Education/Training Program
24302 NORTHERN BLVD
DOUGLASTON, NY 11362
Social Worker (Clinical)
24302 NORTHERN BLVD
DOUGLASTON, NY 11362
Social Worker
24302 NORTHERN BLVD
DOUGLASTON, NY 11362
Psychologist
24302 NORTHERN BLVD
LITTLE NECK, NY 11362
Social Worker
24302 NORTHERN BLVD
DOUGLASTON, NY 11362

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Angelina Ribacoff's NPI number?

The NPI number for Angelina Ribacoff is 1629323704. It was assigned to this individual provider in the NPPES registry on July 16, 2012.

Where is Angelina Ribacoff located?

Angelina Ribacoff practices at 24302 Northern Blvd, Douglaston, NY 11362. The listed phone number is (718) 423-6200.

What is Angelina Ribacoff's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Angelina Ribacoff enrolled in Medicare?

Yes. Angelina Ribacoff is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Angelina Ribacoff's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Angelina Ribacoff reassigns Medicare benefits to Sentinel Services Group Inc (Spring Valley, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Angelina Ribacoff's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Angelina Ribacoff was last updated on July 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.