| Provider / Organization | NPI | Date Certified |
|---|---|---|
| DANIEL RYBALOV | 1588228571 | 2021-05-02 |
Daniel Rybalov [M] graduated in 2018 and primarily specializes in Nurse Practitioner.
Daniel Rybalov is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1588228571. Registration indicates Daniel Rybalov is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Family, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Family, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )
| PECOS ID | 2961738042 |
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Daniel Rybalov FNP |
| Practice Office Address | 835 OLD YORK RD JENKINTOWN, PA US |
| Practice Office Telephone | 1528862923 |
| Mailing Address | 835 OLD YORK RD JENKINTOWN, PA 190461601 US |
| Business Telephone | 2158862923 |
| Code | Practice | License No State |
|---|---|---|
| 363LF0000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse PractitionerAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Family All Other Specialties & Provider Types Nurse Practitioner Family Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | SP020107
PA |