Active NPI
Tayler Ashlee Van Denakker, MD
- Anatomic Pathology & Clinical Pathology Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 211224039
- Practice address
- 1111 Amsterdam Ave # Clark4
New York, NY 10025-1716 - Phone
- (212) 523-4526
- NPI assigned
- Jul 16, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 211224039 | NY | Primary |
Addresses
Primary practice location
1111 Amsterdam Ave # Clark4
New York, NY 10025-1716
Mailing address
1111 Amsterdam Ave # Clark4
New York, NY 10025-1716
Phone (917) 856-8434
Other practice location 1
515 W 59th St Apt 20P
New York, NY 10019-1287
Phone (917) 856-8434
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5 E 98TH St
FL 6
New York, NY 10029-6501
Phone (212) 241-2221
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 211224039 | NY | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Icahn School of Medicine at Mount Sinai | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients |
Locations
1111 Amsterdam Ave
#4
New York, NY 10025
Phone (212) 523-4526
150 E 42nd St
New York, NY 10017
Phone (212) 661-8139
5 E 98th St
Fl 6
New York, NY 10029
Phone (212) 241-2221
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Mount Sinai Hospital Based Providers
- Anatomic Pathology & Clinical Pathology Physician
- New York, NY
- NPI 1104162700
-
dba New York Eye & Ear Optical Shop
- Eyewear Supplier
- New York, NY
- NPI 1760227466
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Long Island City, NY
- NPI 1245248939
-
- Rehabilitation Hospital
- New York, NY
- NPI 1669440327
-
- General Acute Care Hospital
- New York, NY
- NPI 1932103413
-
- General Acute Care Hospital
- New York, NY
- NPI 1225295512
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704758400000",
"number": "1023530581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 AMSTERDAM AVE # CLARK4",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100251716",
"telephone_number": "917-856-8434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 AMSTERDAM AVE # CLARK4",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100251716",
"telephone_number": "212-523-4526"
}
],
"practiceLocations": [
{
"address_1": "515 W 59th St Apt 20P",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100191287",
"country_code": "US",
"telephone_number": "917-856-8434",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VAN DENAKKER",
"first_name": "TAYLER",
"middle_name": "ASHLEE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-16",
"last_updated": "2024-01-09",
"certification_date": "2024-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "NY",
"license": "211224039",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.