Tanya S Futoryan, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

035123 Issued in CT

Practice address

489 Post Rd E
Westport, CT 06880-4435

Phone

(203) 226-3600

Fax

(203) 226-2555

NPI assigned

Jul 15, 2006

Last updated

Aug 27, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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 CT

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

Specialty

Dermatology

Education

Tufts University School of Medicine, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Dermatology and Laser Center, LLCGroup PAC ID 4880849900, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advanced Dermatology & Laser Center, LLC

  dba Westport Dermatology

  • Dermatology Physician
  • Westport, CT
  • NPI 1063433969
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346025600000",
    "number": "1063438463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "489 POST RD E",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068804435",
            "telephone_number": "203-226-3600",
            "fax_number": "203-226-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "489 POST RD E",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068804435",
            "telephone_number": "203-226-3600",
            "fax_number": "203-226-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUTORYAN",
        "first_name": "TANYA",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-15",
        "last_updated": "2012-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CT",
            "license": "035123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valerie Friedman, MPT
• Joan Frimmer
• Barbara Ann Frumkin, PH.D.
• Samuel Frumkin, M.D.
• Emily Fuehring, DPT
• Julie S. Gabriel, DC
• Nicole L Gabriel, LCSW
• Genevieve Carino Gacula, MHA, MBA
• James Paul Gadzik, M.D.
• Lindsay Gadzik

• Dermatology Physician in Westport, CT
• Providers in Westport, CT by specialty
• Dermatology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2012; 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.

Verify at the official NPI Registry.