DR. YANICK MARY VIBERT


Address: 230 North Broad Street, Mailstop 492, 10th Floor South Tower Neonatology Office, Philadelphia, PA 19102
Phone: 2157626562

DR. YANICK MARY VIBERT (NPI# 1134286677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134286677
Entity Type Individual
Full Name DR. YANICK MARY VIBERT
Credential DO
Practice Address 230 North Broad Street
Mailstop 492, 10th Floor South Tower Neonatology Office
Philadelphia
PA 19102
Mailing Address 113 - 5 Echelon Road
Apt #5
Voorhees
NJ 08043
Practice Telephone 2157626562
Practice Fax Number 2157627139
Mailing Telephone 2157626562
Mailing Fax Number 2157627139
Enumeration Date 2007-01-03
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080N0001X Pediatrics
Specialization: Neonatal-Perinatal Medicine
OS-012316 PA Allopathic & Osteopathic Physicians

Office Location

Street Address 230 NORTH BROAD STREET
MAILSTOP 492, 10TH FLOOR SOUTH TOWER NEONATOLOGY OFFICE
City PHILADELPHIA
State PA
Zip Code 19102

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154734051 Jui Patel Internal Medicine 230 North Broad Street, Philadelphia, PA 19102 2014-06-09
1861705444 Walter Gregory Shakespeare Internal Medicine 230 North Broad Street, Hahneman University Hospital, Philadelphia, PA 18062 2010-07-23
1346372562 Midatlantic Medevac LLC Ambulance 230 North Broad Street, Suite 487, Philadelphia, PA 19102-1192 2007-03-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821650847 Alexandre Mason Sharma Student in an Organized Health Care Education/Training Program 200 N 16th St Apt 1318, Philadelphia, PA 19102 2019-06-29
1720648223 Ali Haydar Internal Medicine 245 N. 15th St, 6th Floor, Ms 42, Philadelphia, PA 19102 2019-06-17
1124688734 Aakash Patel Internal Medicine Drexel University College of Medicine-internal Medicine, 245 N. 15th St. 6th Floor, Ms 427, Philadelphia, PA 19102 2019-06-17
1245898170 Parth Javia Internal Medicine 245 N. 15th St., 6th Floor, Ms 427, Philadelphia, PA 19102 2019-06-05
1588120968 John Granger II Social Worker 1500 Market St. 12th Floor Suite 75, Philadelphia, PA 19102 2019-02-11
1750851390 Philadelphia Pain and Neurology Institute, LLC Chiropractor 1528 Walnut Street Suite 620, Philadelphia, PA 19102 2018-11-27
1770076465 Sarthi Dalal Internal Medicine 245 N 15th St, Fl 6, Ms 427, Philadelphia, PA 19102 2018-06-07
1255824033 Joyce Nimo-boampong Internal Medicine Drexel University College of Medicine, 245 N 15th St, 6th Floor,ms 427, Philadelphia, PA 19102 2018-06-07
1134625692 Emma Rose Gormley Social Worker 1601 Walnut St Ste 1516, Philadelphia, PA 19102 2018-04-03
1851808497 Sunish Shah Pharmacist 230 N Broad St, Philadelphia, Pa 19102, Philadelphia, PA 19102 2018-01-04
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Taxonomy Information

Taxonomy Code 2080N0001X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Neonatal-Perinatal Medicine

Taxonomy Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568656981 Mario Zichella Jr. Pediatrics 1025 Walnut Street, Suite 700, Philadelphia, PA 19107-3121 2007-08-29
1235333774 Andrea Freeman Duncan Pediatrics 3401 Civic Center Blvd Fl 2, Philadelphia, PA 19104-4319 2007-06-11
1831302603 Folasade Ibironke Kehinde Pediatrics 160 E Erie Ave Dept Of, Philadelphia, PA 19134-1011 2007-05-08
1639204225 Kirstie R Marcello Pediatrics 111 South 11th Street, 7th Floor College Building, Philadelphia, PA 19107 2007-02-22
1164476842 Karen Fritz Pediatrics St. Christopher's Hospital Erie Ave and Front St, Div of Neonatology, Philadelphia, PA 19131 2006-05-19
1043274376 Daniel Henry Conway Pediatrics Front St and Erie Ave, St. Christopher's Hospital for Children, Philadelphia, PA 19134 2006-04-13
1720623200 Stc Pediatrics LLC Pediatrics 3401 N Broad St, Philadelphia, PA 19140-5103 2019-11-08
1639713076 Stc Pediatrics LLC Pediatrics 160 E Erie Ave, Philadelphia, PA 19134-1011 2019-10-29
1750863619 Temple Faculty Practice Plan, Inc Pediatrics 3401 N Broad St, Philadelphia, PA 19140-5103 2018-09-06
1659803526 Oluwatobi Adegboyega Pediatrics 833 Chestnut St Ste 1210, Philadelphia, PA 19107-4428 2017-03-30
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City PHILADELPHIA
Zip Code 19102

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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