Individual provider Active NPI

Tanjia Hynes, FNP

  • Family Nurse Practitioner
  • Margaretville, NY
National Provider Identifier
1174903611
Registry record updated Jun 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
339657 Issued in NY
Practice address
42084 State Highway 28
Margaretville, NY 12455-2820
Phone
(845) 586-3888
NPI assigned
May 30, 2015
Last updated
Jun 25, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 339657 NY Primary

Addresses

Primary practice location

42084 State Highway 28
Margaretville, NY 12455-2820

Mailing address

42084 State Highway 28
Margaretville, NY 12455-2820
Phone (845) 586-3888

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160308001367 NY Practitioner - Nurse Practitioner 5890091482 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Westchester Medical Center Advanced Physician Services PC CurrentSince Aug 1, 2019 Accepting new patients
Westchester Medical Center Advanced Physician Services, PC CurrentSince Aug 1, 2019 Accepting new patients
Empire Ny Medical Care PLLC PastSince Jan 10, 2016 Accepting new patients

Locations

19 Bradhurst Ave
Ste 3100N
Hawthorne, NY 10532
Phone (914) 231-8373

42084 State Highway 28
Margaretville, NY 12455
Phone (845) 334-2819

95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961

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.

NPI Registry JSON

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

{
    "created_epoch": "1432944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435190400000",
    "number": "1174903611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42084 STATE HIGHWAY 28",
            "city": "MARGARETVILLE",
            "state": "NY",
            "postal_code": "124552820",
            "telephone_number": "845-586-3888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42084 STATE HIGHWAY 28",
            "city": "MARGARETVILLE",
            "state": "NY",
            "postal_code": "124552820",
            "telephone_number": "845-586-3888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYNES",
        "first_name": "TANJIA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-30",
        "last_updated": "2015-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "339657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Margaretville, NY

Sources for this page

Verify at the official NPI Registry.