Taryn Huizenga, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

302839 Issued in NY

Practice address

73 Spring St RM 303
New York, NY 10012-5801

Phone

(646) 906-9614

NPI assigned

Apr 1, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: thuizenga@navaderm.emadirect.md

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.

• Associates in Dermatology and Cosmetic Surgery-the Millburn Laser Cent

  • Dermatology Physician
  • New York, NY
  • NPI 1033715032
  NPD
• Spring Street Dermatology, PLLC

  • Dermatology Physician
  • New York, NY
  • NPI 1639408818
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1459468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610841600000",
    "number": "1043673445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 SPRING ST RM 303",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100125801",
            "telephone_number": "646-906-9614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 SPRING ST RM 303",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100125801",
            "telephone_number": "646-906-9614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUIZENGA",
        "first_name": "TARYN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-01",
        "last_updated": "2021-01-17",
        "certification_date": "2021-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "302839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wing-Yu Hui, RPH
• Yuen Wai Hui, MS, RD, CDN, CDCES
• Sandra Huicochea Castellanos
• Fiona Wai-Ling Huie
• Huilin Lai, LCSW, P.C.
• Bryan David Hujsak, P.T.
• Brandon Hulasiya
• Anjali Shivappa Hulbanni, M.D.
• John M Hulbrock, DDS
• Jeremiah Hulburt, LCSW

• Dermatology Physician in New York, NY
• Providers in New York, NY by specialty
• Dermatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.