Individual provider Active NPI

Judy P Tsai, D.O.

  • General Practice Physician
  • Syosset, NY
National Provider Identifier
1205122918
Registry record updated Feb 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
269908 Issued in NY
Practice address
18 Jackson Ave Ste 3
Syosset, NY 11791-3137
Phone
(516) 991-9607
Fax
(516) 802-2534
NPI assigned
Jun 21, 2011
Last updated
Feb 13, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 269908 NY Primary

Addresses

Primary practice location

18 Jackson Ave Ste 3
Syosset, NY 11791-3137

Mailing address

712 Willow Ave
Apt 3B
Hoboken, NJ 07030-4032
Phone (917) 882-0461

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
I20151113001507 NY Practitioner - General Practice 8820308257 Practice locations: Syosset, NY

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

18 Jackson Ave
Suite 3
Syosset, NY 11791-3137
Phone (516) 991-9607

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1308614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550016000000",
    "number": "1205122918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 WILLOW AVE",
            "address_2": "APT 3B",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070304032",
            "telephone_number": "917-882-0461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 JACKSON AVE STE 3",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117913137",
            "telephone_number": "516-991-9607",
            "fax_number": "516-802-2534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSAI",
        "first_name": "JUDY",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-21",
        "last_updated": "2019-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "269908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syosset, NY

Sources for this page

Verify at the official NPI Registry.