Vibha Tyagi, MS in Edu.&Sp. Edu.
Specialist in Melville, NY. Individual provider (NPI-1).
NPI number1295097145
StatusActive
Last updated in NPPESDec 18, 2013
Details
- NPI
- 1295097145
- Entity type
- Individual (NPI-1)
- Name
- Ms. Vibha Tyagi
- Credential
- MS in Edu.&Sp. Edu.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 15, 2012
- Last updated
- Dec 18, 2013
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | – | – | Yes |
| 171M00000X | Case Manager/Care Coordinator | 16330 | NY |
Practice location
538 Broadhollow RdSuite #202
Melville, NY 11747-3676
Phone 631-385-7780 · Fax 631-385-7795
Mailing address
58 Westwood AveDeer Park, NY 11729-2211
Phone 631-667-0235
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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