Individual provider Active NPI

Michael A Tugetman, M.D.

  • Family Medicine Physician
  • Hartsdale, NY
National Provider Identifier
1164449161
Registry record updated Mar 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
212280 Issued in NY
Practice address
359 N Central Ave
Hartsdale, NY 10530-1811
Phone
(914) 448-2273
Fax
(914) 448-2200
NPI assigned
Jul 16, 2006
Last updated
Mar 18, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 212280 NY Primary

Addresses

Primary practice location

359 N Central Ave
Hartsdale, NY 10530-1811

Mailing address

359 N Central Ave
Hartsdale, NY 10530-1811
Phone (914) 448-2273

Other identifiers 3

IdentifierTypeStateIssuer
01909613MedicaidNY
1164449161OtherNYNPI
5129C1OtherNYMEDICARE ID

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040712001571 NY Practitioner - Family Practice 6204814569 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Howard University College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urgent Care Physician of New York-Hartsdale PLLCGroup PAC ID 8628253697, 13 clinicians

Practice addresses (Care Compare)

42 Rockland PLZ
Suite 22
Nanuet, NY 10954-2208
Phone (845) 367-7395

843 Hutchinson River Pkwy
Bronx, NY 10465-1818
Phone (718) 925-4400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Sinai Urgent Medical Care PC CurrentSince Apr 12, 2024 Accepting new patients
Urgent Care Physician of New York-Hartsdale PLLC CurrentSince May 1, 2011 Accepting new patients
CMC Housestaff Family Medicine Past Accepting new patients
Boro Medical, P.C. Family Medicine Past Accepting new patients

Locations

359 N Central Ave
Hartsdale, NY 10530
Phone (914) 448-2273

839 New York Ave
Huntington, NY 11743
Phone (347) 728-1604

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426636800000",
    "number": "1164449161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "359 N CENTRAL AVE",
            "city": "HARTSDALE",
            "state": "NY",
            "postal_code": "105301811",
            "telephone_number": "914-448-2273",
            "fax_number": "914-448-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "359 N CENTRAL AVE",
            "city": "HARTSDALE",
            "state": "NY",
            "postal_code": "105301811",
            "telephone_number": "914-448-2273",
            "fax_number": "914-448-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUGETMAN",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-16",
        "last_updated": "2015-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "212280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01909613",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1164449161",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "5129C1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartsdale, NY

Sources for this page

Verify at the official NPI Registry.