Active NPI
Gohar Harutyunyan Tiratsuyan, MD
- Internal Medicine Physician
- Bergenfield, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 25MA12291800
- Practice address
- 1 N Washington Ave
Bergenfield, NJ 07621-2125 - Phone
- (201) 374-9201
- NPI assigned
- Jul 27, 2021
- Last updated
- Sep 9, 2024
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25MA12291800 | NJ | Primary |
Addresses
Primary practice location
1 N Washington Ave
Bergenfield, NJ 07621-2125
Mailing address
20 Burling LN
New Rochelle, NY 10801-5664
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1 Theall Rd
Rye, NY 10580-1404
Phone (914) 848-8888
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Westchester Medical Group, P.C. | Internal Medicine | Current | Accepting new patients |
| The Westchester Medical Group PC | Current | Accepting new patients | |
| Medical Associates of Englewood, PC | Internal Medicine | Current | Accepting new patients |
Locations
1 N Washington Ave
Bergenfield, NJ 07621
Phone (201) 384-7333
1555 Center Ave
Ste 2
Fort Lee, NJ 07024
Phone (201) 242-1600
24 Elm St
Ste 203
Harrington Pk, NJ 07640
Phone (201) 784-0123
1 Theall Rd
Rye, NY 10580
Phone (914) 848-8700
210 Westchester Ave
White Plains, NY 10604
Phone (914) 681-3100
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
Interoperability endpoints
- gohar.tiratsuyan.1@21260.direct.athenahealth.com
Organizations & group practices 3
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.
-
dba WESTMED Medical Group
- Critical Care Medicine (Internal Medicine) Physician
- Rye Brook, NY
- NPI 1881653822
-
- Internal Medicine Physician
- Englewood, NJ
- NPI 1952681918
-
dba Westmed Medical Group
- Durable Medical Equipment & Medical Supplies
- Greenwich, CT
- NPI 1790560878
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- White Plains, NY
- NPI 1053311092
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725840000000",
"number": "1114690005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 BURLING LN",
"city": "NEW ROCHELLE",
"state": "NY",
"postal_code": "108015664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 N WASHINGTON AVE",
"city": "BERGENFIELD",
"state": "NJ",
"postal_code": "076212125",
"telephone_number": "201-374-9201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIRATSUYAN",
"first_name": "GOHAR",
"middle_name": "HARUTYUNYAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-27",
"last_updated": "2024-09-09",
"certification_date": "2024-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA12291800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bergenfield, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 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.