Active NPI
Michael Andrew Tymon, MD
- Cardiovascular Disease Physician
- Seaford, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 309262
- Practice address
- 850 Hicksville Rd Ste 104
Seaford, NY 11783-1300 - Phone
- (516) 798-0141
- Fax
- (516) 809-4225
- NPI assigned
- Apr 17, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 309262 | NY | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Cardiovascular Disease Physician | 207RC0000X | 309262 | NY | Primary |
Addresses
Primary practice location
850 Hicksville Rd Ste 104
Seaford, NY 11783-1300
Mailing address
222 Station PLZ N Ste 509
Mineola, NY 11501-3893
Phone (516) 663-2381
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Albert Einstein College of Medicine of Yeshiva University, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
850 Hicksville Rd
Suite 104
Seaford, NY 11783-1300
Phone (516) 809-4200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 309262 | NY | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore Long Island Jewish Health Care Inc | Multi-Specialty | Current | Accepting new patients |
| North Shore Long Island Jewish Healthcare | Multi-Specialty | Current | Accepting new patients |
Locations
27005 76th Ave
North New Hyde Pk, NY 11040
850 Hicksville Rd
Ste 110
Seaford, NY 11783
Phone (516) 735-5454
850 Hicksville Rd
Ste 104
Seaford, NY 11783
Phone (516) 798-0141
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
Interoperability endpoints
- michaeltymon@nslijmedgr.allscriptsdirect.net
Organizations & group practices 3
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.
-
- Cardiovascular Disease Physician
- Westbury, NY
- NPI 1215019500
Multi-Specialty
-
- Physician Assistant
- Plainview, NY
- NPI 1730925843
-
- Internal Medicine Physician
- New York, NY
- NPI 1912338385
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718064000000",
"number": "1215424148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 STATION PLZ N STE 509",
"city": "MINEOLA",
"state": "NY",
"postal_code": "115013893",
"telephone_number": "516-663-2381",
"fax_number": "516-663-8796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 HICKSVILLE RD STE 104",
"city": "SEAFORD",
"state": "NY",
"postal_code": "117831300",
"telephone_number": "516-798-0141",
"fax_number": "516-809-4225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TYMON",
"first_name": "MICHAEL",
"middle_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-04-17",
"last_updated": "2024-06-11",
"certification_date": "2024-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NY",
"license": "309262",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NY",
"license": "309262",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seaford, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.