NINO JIAO TIBAY AGPCNP, NP-C
NPI 1750728903
Nurse Practitioner - Adult Health in New York, NY
About Nino Jiao Tibay Agpcnp, Np-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NINO JIAO TIBAY AGPCNP, NP-C (NPI 1750728903) is an individual adult health provider in New York, New York, licensed in New York (306389) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Nino Jiao Tibay Agpcnp, Np-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Nino Tibay reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
New Hyde Park, NY 11040
- Reassigned Medicare billing, New York enrollment
- 9,353 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10065 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
NEW YORK, NY 10065
NEW YORK, NY 10065
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 Nino Tibay's NPI number?
The NPI number for Nino Tibay is 1750728903. It was assigned to this individual provider in the NPPES registry on May 29, 2013.
Where is Nino Tibay located?
Nino Tibay practices at 425 E 61st St 4th Floor, New York, NY 10065. The listed phone number is (646) 962-2333.
What is Nino Tibay's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Nino Tibay enrolled in Medicare?
Yes. Nino Tibay is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Nino Tibay's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nino Tibay reassigns Medicare benefits to North Shore - Lij Medical PC (New Hyde Park, 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 Nino Tibay'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 Nino Tibay was last updated on May 29, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Nino Jiao Tibay, AGPCNP, NP-C · NPI 1750728903
Adult Health physician in New York, New York. Individual provider, active in the CMS NPPES registry since May 29, 2013.
## Identity
- **NPI:** 1750728903 (Entity type: Individual)
- **Enumerated:** May 29, 2013
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** 306389 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 425 E 61ST ST, 4TH FLOOR, New York, NY 10065-8722
- **Phone:** (646) 962-2333
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** North Shore - Lij Medical PC (NPI 1790043479, New Hyde Park, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 29, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1750728903) · Data from the CMS NPPES public registry.