Organization Active NPI

Tarek Mardam Bey MD PC

  • Orthopaedic Surgery Physician
  • New York, NY
National Provider Identifier
1164571485
Registry record updated Sep 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
1265861 Issued in NY
Legal business name
TAREK MARDAM BEY MD PC
Practice address
1090 Amsterdam Avenue
Suite 6E
New York, NY 10025
Phone
(212) 663-8600
Fax
(212) 663-8602
NPI assigned
Jan 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2007

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

Authorized official

Name
Tarek H Mardam Bey, MDNPI 1114076437
Title
Physician Owner
Phone
(212) 663-8600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X 1265861 NY Primary
Pediatric Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XP3100X 1265861 NY

Addresses

Primary practice location

1090 Amsterdam Avenue
Suite 6E
New York, NY 10025

Mailing address

1090 Amsterdam Avenue
Suite 6E
New York, NY 10025
Phone (212) 663-8600

Other identifiers 2

IdentifierTypeStateIssuer
00306189MedicaidNY
33879OtherNYEMPIRE BCBS NEW YORK

National Provider Directory

National Provider Directory

Locations

1090 Amsterdam Ave
Ste 6E
New York, NY 10025
Phone (212) 523-5105

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190678400000",
    "number": "1164571485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 AMSTERDAM AVENUE",
            "address_2": "SUITE 6E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10025",
            "telephone_number": "212-663-8600",
            "fax_number": "212-663-8602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 AMSTERDAM AVENUE",
            "address_2": "SUITE 6E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10025",
            "telephone_number": "212-663-8600",
            "fax_number": "212-663-8602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAREK MARDAM BEY MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-09-25",
        "status": "A",
        "authorized_official_last_name": "MARDAM BEY",
        "authorized_official_first_name": "TAREK",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "212-663-8600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "1265861",
            "primary": true
        },
        {
            "code": "207XP3100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "NY",
            "license": "1265861",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00306189",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BCBS NEW YORK",
            "identifier": "33879",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2007; 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.