Individual provider Active NPI

Isolda Tsapok, M.D.

  • Obstetrics & Gynecology Physician
  • Staten Island, NY
National Provider Identifier
1194748533
Registry record updated Apr 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
239572 Issued in NY
Practice address
2076 Hylan Blvd
Staten Island, NY 10306-3427
Phone
(718) 351-1221
Fax
(718) 351-2153
NPI assigned
Jul 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 239572 NY
Obstetrics & Gynecology Physician 207V00000X 239572 NY Primary

Addresses

Primary practice location

2076 Hylan Blvd
Staten Island, NY 10306-3427

Mailing address

32 Glenview Dr
Warren, NJ 07059-5484
Phone (718) 351-1221

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080802000005 NY Practitioner - Obstetrics/Gynecology 5496829871 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay Medical Care Services PLLCGroup PAC ID 5294913307, 2 clinicians

Practice addresses (Care Compare)

2076 Hylan Blvd
Staten Island, NY 10306-3427
Phone (718) 351-1221

42 Richmond Ter
FL 1
Staten Island, NY 10301-1908
Phone (718) 273-2700

Hospital & facility affiliations

  • Staten Island University Hospital Hospital, Staten Island, NY, CCN 330160

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
239572NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Medical Care Services PLLC Multi-Specialty CurrentSince May 16, 2011 Accepting new patients
Comprehensive Rehabilitation Medicine P.C. Multi-Specialty PastSince May 16, 2011 Accepting new patients
Staten Island University Hospital Past Accepting new patients

Locations

42 Richmond Ter
Staten Island, NY 10301
Phone (218) 223-2700

2076 Hylan Blvd
Staten Island, NY 10306
Phone (347) 702-4173

42 Richmond Ter
Fl 1
Staten Island, NY 10301
Phone (718) 273-2700

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: itsapok67394@northwell.direct-ci.com

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492732800000",
    "number": "1194748533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 GLENVIEW DR",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070595484",
            "telephone_number": "718-351-1221",
            "fax_number": "718-351-2153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2076 HYLAN BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103063427",
            "telephone_number": "718-351-1221",
            "fax_number": "718-351-2153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSAPOK",
        "first_name": "ISOLDA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2017-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "239572",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "239572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.