Organization Active NPI

Tal Dagan MD PC

  • Otolaryngology/Facial Plastic Surgery Physician
  • New York, NY
National Provider Identifier
1205150570
Registry record updated Jan 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
236976 Issued in NY
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

Updated by the provider on Jan 13, 2015

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)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Y00000X 236976 NY
Pediatric Otolaryngology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207YP0228X 236976 NY
Sleep Medicine (Otolaryngology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207YS0012X 236976 NY
Facial Plastic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207YS0123X 236976 NY
Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207YX0007X 236976 NY
Otolaryngic Allergy PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207YX0602X 236976 NY
Otolaryngology/Facial Plastic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
02807023MedicaidNY

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.