Tatyana Shkolnikov, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

235691 Issued in NY

Practice address

301 Manchester Rd Ste 105
Poughkeepsie, NY 12603-2895

Phone

(845) 225-7337

Fax

(845) 225-1183

NPI assigned

Dec 1, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Our Lady of Mercy Ambulatory Care Center, Inc.

  • Podiatric Clinic/Center
  • Bronx, NY
  • NPI 1477704948
  NPD (past)
• Our Lady of Mercy Medical Center

  • Pediatric Emergency Medicine (Emergency Medicine) Physician
  • Bronx, NY
  • NPI 1669412847
  NPD (past)
• The Children'S Medical Group PLLC

  • Pediatrics Physician
  • Fishkill, NY
  • NPI 1407116536
  NPD (past)
• The Childrens Medical Group

  • Pediatrics Physician
  • Poughkeepsie, NY
  • NPI 1841224508
  NPD (past)

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1184792640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 MANCHESTER RD STE 105",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126032587",
            "telephone_number": "845-452-1700",
            "fax_number": "845-452-1752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MANCHESTER RD STE 105",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126032895",
            "telephone_number": "845-225-7337",
            "fax_number": "845-225-1183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHKOLNIKOV",
        "first_name": "TATYANA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "235691",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "235691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02739577",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yogesh M Shingala, LCSWR
• Leslie Ann Shingara, PT
• Jason Thomas Shinn, M.D.
• Judy Shishmanian, MS, RD, CDE
• Neha Shiveshvarkar, DO
• Shoprite Supermarkets, Inc
• Kren K Shriver, MD
• Robin Joanna Shutinya, LCSW
• Judith Ellena Grosso Sickles, CPNP-PC, RN
• Latifa K Siddiqua, MD

• Pediatrics Physician in Poughkeepsie, NY
• Providers in Poughkeepsie, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.