Active NPI
Tiffany A. Cummins, M.D.
- Psychiatry Physician
- Long Island City, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 230636
- Practice address
- 2976 Northern Blvd
Long Island City, NY 11101-2822 - Phone
- (212) 691-7554
- NPI assigned
- Jul 7, 2006
- Last updated
- May 17, 2023
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 60230636 | NY | |
| Psychiatry Physician | 2084P0800X | 25MA10157900 | NJ | |
| Psychiatry Physician | 2084P0800X | 230636 | NY | Primary |
Addresses
Primary practice location
2976 Northern Blvd
Long Island City, NY 11101-2822
Mailing address
2976 Northern Blvd
Long Island City, NY 11101-2822
Phone (212) 691-7554
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60230636 | NY | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sus Mental Health Programs, Inc. | Psychiatry | Current | Accepting new patients |
| The Fortune Society Inc. | Current | Accepting new patients | |
| The Fortune Society | Current | Accepting new patients | |
| Beth Israel Medical Center | Past | Accepting new patients | |
| Beth Israel Medical Center Psychiatry & Behavioral Science | Past | Accepting new patients | |
| Pathways to Housing, Inc. | Past | Accepting new patients |
Locations
1125 Fulton St
Ste 2
Brooklyn, NY 11238
Phone (347) 226-9025
2976 Northern Blvd
Long Island City, NY 11101
Phone (212) 691-7554
2976 Northern Blvd
Fl 2
Long Island City, NY 11101
Phone (212) 691-7554
463 Fashion Ave
Fl 17
New York, NY 10018
Phone 64656558165816
Organizations & group practices 6
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 SUS Wellness Works Mental Health Clinic
- Community/Behavioral Health Agency
- Brooklyn, NY
- NPI 1053696195
Psychiatry
-
- Addiction (Substance Use Disorder) Counselor
- Long Island City, NY
- NPI 1235357237
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Long Island City, NY
- NPI 1952079089
-
- Cognitive & Behavioral Psychologist
- New York, NY
- NPI 1275624199
-
- Cognitive & Behavioral Psychologist
- New York, NY
- NPI 1477582476
-
- Voluntary or Charitable Agency
- New York, NY
- NPI 1861419707
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684281600000",
"number": "1174556914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2976 NORTHERN BLVD",
"city": "LONG ISLAND CITY",
"state": "NY",
"postal_code": "111012822",
"telephone_number": "212-691-7554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2976 NORTHERN BLVD",
"city": "LONG ISLAND CITY",
"state": "NY",
"postal_code": "111012822",
"telephone_number": "212-691-7554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUMMINS",
"first_name": "TIFFANY",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-07",
"last_updated": "2023-05-17",
"certification_date": "2023-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "60230636",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NJ",
"license": "25MA10157900",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "230636",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Long Island City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.