Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Deinma Ibulubo, RN, FNP-BC

Individual provider Registered Nurse · NPI 1013261866

Deinma Ibulubo, RN, FNP-BC is a Nurse Practitioner in Bronx, New York. Qualified in 2018, 8 years ago. Practices with Penn State Health Medical Group LLC, a 711-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in New York and Pennsylvania.

Years since qualifying
8
Licensed in
NY, PA
In the registry since
2012
Specialties on file
3
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

2054 Tillotson Ave
Bronx, NY 10475-1560
Phone: (718) 671-2100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1650 Grand Concourse, Bronx, NY 10457-7606 — (718) 992-7669
  • 503 N 21st St, Camp Hill, PA 17011-2204 — (717) 972-4448

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 363715 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 647036 (NY)
Nurse Practitioner Taxonomy 363L00000X · Licence SP023507 (PA)

Record details

NPI number1013261866
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN , FNP-BC
Sole proprietorYes
NPI enumeratedNovember 1, 2012
Last updated in NPPESOctober 11, 2022
Certification dateOctober 11, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Penn State Health Medical Group Llc — 711 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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