Michael Tsadyk, MD
Individual provider Active NPI Family Medicine Physician · Forest Hills, NY
NPI 1194212902 · NPPES record last updated Jul 19, 2024
Key facts
- NPI
- 1194212902
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 311689 (NY)
- Practice address
- 10721 Queens Blvd Ste 6
Forest Hills, NY 11375-4451 - Phone
- (929) 450-7007
- Fax
- (929) 506-7006
- NPI assigned
- Apr 17, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Baker Pediatrics LLC
Baker Health Medicine PLLC
Practice addresses (Care Compare)
10721 Queens Blvd
Suite 6
Forest Hills, NY 11375-4451
Phone (929) 450-7007
34 The Promenade
Edgewater, NJ 07020-2127
Phone (551) 355-1200
76 W Brighton
Suite 105
Brooklyn, NY 11224
Phone (551) 355-1200
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NY, NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211103000018 | NY | Practitioner - Family Practice | 6709274277 | Reassigns benefits to 4 organizations |
| I20230501002447 | NJ | Practitioner - Family Practice | 6709274277 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles (7 of 11)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baker Health Medicine PLLC | Family Medicine | Current |
Accepting new patients |
| MVHS Inc | Current |
Accepting new patients | |
| Emusc, LLC | Current |
Accepting new patients | |
| Baker Pediatrics LLC | Family Medicine | Current |
Accepting new patients |
| Michael Tsadyk Medical PC | Family Medicine | Current |
Accepting new patients |
| MVHS Inc | Family Medicine | Current |
Accepting new patients |
| Iz Medical LLC | Family Medicine | Past |
Accepting new patients |
Locations
855 Valley Rd
Ste 112
Clifton, NJ 07013
Phone (551) 355-1200
34 The Promenade
Edgewater, NJ 07020
Phone (551) 355-1200
250 Moonachie Rd
Moonachie, NJ 07074
Phone (201) 596-6262
76 W Brighton Ave
#C103
Brooklyn, NY 11224
Phone (551) 355-1200
510 Driggs Ave
Brooklyn, NY 11211
Phone (212) 315-8233
10721 Queens Blvd
Ste 6
Forest Hills, NY 11375
Phone (718) 261-2992
8340 Woodhaven Blvd
Glendale, NY 11385
Phone (718) 441-0101
2209 Genesee St
Ofc
Utica, NY 13501
Phone (315) 801-3282
1676 Sunset Ave
Utica, NY 13502
Phone (315) 624-5567
120 Hobart St
Utica, NY 13501
Phone (315) 798-1149
1656 Champlin Ave
Utica, NY 13502
Phone (315) 624-6241
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
Interoperability endpoints
- michael.tsadyk.1@31205.direct.athenahealth.com
- michael.tsadyk.1@25246.direct.athenahealth.com
- https://api.platform.athenahealth.com/25246/brand/2/csg/1/fhir/r4
- https://fhir4.healow.com/fhir/r4/FIBBED/Endpoint/FIBBED
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 311689 | NY | Yes |
Addresses
Primary practice location
10721 Queens Blvd Ste 6
Forest Hills, NY 11375-4451
Mailing address
10721 Queens Blvd Ste 6
Forest Hills, NY 11375-4451
Phone (929) 450-7007
Other providers in Forest Hills, NY
- Mary Trinidad-Santiago
- Tracey Tronolone
- Jennifer Trook
- Diana Milena Trujillo Manosalva
- Jesse Truxton
- Theresia Tsay
- Paul Ming Hung Tseng
- Irina V Tserlyuk
- Fotini Tsillis
- Avia Tsoran
All providers in Forest Hills, NY · Family Medicine Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 19, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.