Active NPI
John Joseph Tadros, MD
- Neonatal-Perinatal Medicine Physician
- Stony Brook, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- 25MA09038400
- Practice address
- Stony Brook University Hospital
Dept of Pediatrics, Division of Neonatology,HSC,T11,060
Stony Brook, NY 11794-7148 - Phone
- (631) 444-2754
- Fax
- (631) 444-6031
- NPI assigned
- Jul 1, 2008
- Last updated
- May 11, 2026
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 251771 | NY | |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 25MA09038400 | NJ | Primary |
Addresses
Primary practice location
Stony Brook University Hospital
Dept of Pediatrics, Division of Neonatology,HSC,T11,060
Stony Brook, NY 11794-7148
Mailing address
Stony Brook University Hospital
Medical Staff Office
Stony Brook, NY 11794-7148
Phone (631) 444-2754
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Other, 2002
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
66 W Gilbert St
Tinton Falls, NJ 07701-4948
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA09038400 | NJ | MD | Neonatal-Perinatal Medicine Physician |
| 251771 | NY | MD | Neonatal-Perinatal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians of University Hospital PC | Current | Accepting new patients | |
| Physicians of University Hospital, PC | Current | Accepting new patients | |
| North Shore-Lij Medical PC | Current | Accepting new patients | |
| Physicians of University Hospital, PC | Current | Accepting new patients | |
| North Shore - Lij Medical PC | Current | Accepting new patients | |
| Staten Island University Hospital | Past | Accepting new patients | |
| Jersey City Medical Center | Past | Accepting new patients |
Locations
300 Community Dr
Manhasset, NY 11030
1 Edgewater St
Fl 6
Staten Island, NY 10305
Phone (718) 226-1047
242 Mason Ave
Staten Island, NY 10305
Phone (718) 226-1458
401 Seaview Ave
Lowr
Staten Island, NY 10305
Phone (718) 226-6186
475 Seaview Ave
Staten Island, NY 10305
Phone (718) 226-8855
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- jtadros66872@northwell.direct-ci.com
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba NHPP Cardiology at Great Neck
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- NPI 1053688572
-
- Geriatric Medicine (Internal Medicine) Physician
- Staten Island, NY
- NPI 1417901323
-
- Specialist
- Elizabeth, NJ
- NPI 1841557246
-
dba NSLIJ Medical In Queens
- Internal Medicine Physician
- New Hyde Park, NY
- NPI 1790043479
-
- Allergy & Immunology Physician
- Staten Island, NY
- NPI 1013368224
-
- Anesthesiology Physician
- Bay Shore, NY
- NPI 1023513116
-
- General Acute Care Hospital
- Staten Island, NY
- NPI 1407877137
-
- General Acute Care Hospital
- Jersey City, NJ
- NPI 1689744856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778457600000",
"number": "1225290182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "STONY BROOK UNIVERSITY HOSPITAL",
"address_2": "MEDICAL STAFF OFFICE",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "117947148",
"telephone_number": "631-444-2754",
"fax_number": "631-444-6031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "STONY BROOK UNIVERSITY HOSPITAL",
"address_2": "DEPT OF PEDIATRICS, DIVISION OF NEONATOLOGY,HSC,T11,060",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "117947148",
"telephone_number": "631-444-2754",
"fax_number": "631-444-6031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TADROS",
"first_name": "JOHN",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-01",
"last_updated": "2026-05-11",
"certification_date": "2026-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "NY",
"license": "251771",
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "NJ",
"license": "25MA09038400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stony Brook, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; 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.