MEDICARE: MS. NATALIA KATERINA IBARRA NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	407334	NY
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	26NJ15525400	NJ

General Provider Information

NPI Number	:	1538002464
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. NATALIA KATERINA IBARRA NP

Provider Business Mailing Address
First Line	:	190 RIVER RD APT 723
Second Line	:
City	:	EDGEWATER
State	:	NJ
Zip	:	07020-1814
Country	:	US
Telephone Number	:	201-937-0483
Fax Number	:

Provider Business Practice Location Address
First Line	:	157 E 86TH ST FL 5
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10028-2113
Country	:	US
Telephone Number	:	718-790-4511
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/14/2026
Last Update Date	:	04/14/2026

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