Tara Poostchi

Primary specialty

DentistTaxonomy code 122300000X

License

063324 Issued in NY

Practice address

29 Washington SQ W Apt 1C
New York, NY 10011-9132

Phone

(310) 404-4818

NPI assigned

May 10, 2022

Last updated

Mar 5, 2024By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1652140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1164168464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 WASHINGTON SQ W APT 1C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100119132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 WASHINGTON SQ W APT 1C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100119132",
            "telephone_number": "310-404-4818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POOSTCHI",
        "first_name": "TARA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-10",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "063324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sooraj Poonawala, D.O.
• Armeen Poor
• Hooman Dadkhahi Poor, MD
• Cynthia A Poorbaugh, M.F.A., L.P.
• Mihika Poore
• Elizabeta C Popa, MD
• Monica Popa, PT, DPT
• Andrew Popadics, MHC-I
• Divya Y Popat
• Rizwana N Popatia, MD

• Dentist in New York, NY
• Providers in New York, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.