Active NPI
Tal Dagan MD PC
- Otolaryngology/Facial Plastic Surgery Physician
- New York, NY
National Provider Identifier
1205150570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology/Facial Plastic Surgery Physician
- License
- 236976
- Legal business name
- TAL DAGAN MD PC
- Practice address
- 420 Madison Ave
Suite 503 and Suite 505
New York, NY 10017-1107 - Phone
- (212) 585-3242
- Fax
- (866) 401-0389
- NPI assigned
- Mar 16, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Tal Dagan, MD
- Title
- President
- Phone
- (212) 585-3242
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 236976 | NY | |
| Pediatric Otolaryngology Physician | 207YP0228X | 236976 | NY | |
| Sleep Medicine (Otolaryngology) Physician | 207YS0012X | 236976 | NY | |
| Facial Plastic Surgery Physician | 207YS0123X | 236976 | NY | |
| Plastic Surgery within the Head & Neck (Otolaryngology) Physician | 207YX0007X | 236976 | NY | |
| Otolaryngic Allergy Physician | 207YX0602X | 236976 | NY | |
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X | 236976 | NY | Primary |
Addresses
Primary practice location
420 Madison Ave
Suite 503 and Suite 505
New York, NY 10017-1107
Mailing address
420 Madison Ave
Suite 503
New York, NY 10017-1107
Phone (212) 585-3242
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02807023 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
420 Madison Ave
Rm 503
New York, NY 10017
Phone (212) 585-3242
7 W 51st St
Fl 2
New York, NY 10019
Phone (212) 245-7900
420 Madison Ave
Ste 503505
New York, NY 10017
Phone (212) 585-3242
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Audiologist
- Fishkill, NY
- NPI 1710394036
-
- Otolaryngology Physician
- New York, NY
- NPI 1265919179
-
- Audiologist
- Poughkeepsie, NY
- NPI 1093894362
-
- Audiologist
- New York, NY
- NPI 1891487351
-
- Audiologist
- Parsippany, NJ
- NPI 1548927700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268697600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1421107200000",
"number": "1205150570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 MADISON AVE",
"address_2": "SUITE 503",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100171107",
"telephone_number": "212-585-3242",
"fax_number": "866-401-0389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 MADISON AVE",
"address_2": "SUITE 503 AND SUITE 505",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100171107",
"telephone_number": "212-585-3242",
"fax_number": "866-401-0389"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TAL DAGAN MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2010-03-16",
"last_updated": "2015-01-13",
"status": "A",
"authorized_official_last_name": "DAGAN",
"authorized_official_first_name": "TAL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "212-585-3242",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": "NY",
"license": "236976",
"primary": false
},
{
"code": "207YP0228X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology, Pediatric Otolaryngology",
"state": "NY",
"license": "236976",
"primary": false
},
{
"code": "207YS0012X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology, Sleep Medicine",
"state": "NY",
"license": "236976",
"primary": false
},
{
"code": "207YS0123X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology, Facial Plastic Surgery",
"state": "NY",
"license": "236976",
"primary": false
},
{
"code": "207YX0007X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
"state": "NY",
"license": "236976",
"primary": false
},
{
"code": "207YX0602X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology, Otolaryngic Allergy",
"state": "NY",
"license": "236976",
"primary": false
},
{
"code": "207YX0905X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
"state": "NY",
"license": "236976",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02807023",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.