Organization Active NPI

TT Medical Wellness PC

  • Interventional Pain Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1225572001
Registry record updated Jan 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
221721 Issued in NY
Legal business name
TT MEDICAL WELLNESS PC
Practice address
40 Oceana Dr.W 2C
Brooklyn, NY 11235
Phone
(718) 332-2713
NPI assigned
Dec 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2017

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

Authorized official

Name
Tatyana Tsifrinovich
Title
MD
Phone
(718) 332-2713

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X 221721 NY
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X 221721 NY
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X 221721 NY Primary

Addresses

Primary practice location

40 Oceana Dr.W 2C
Brooklyn, NY 11235

Mailing address

40 Oceana Dr W Apt 2C
Brooklyn, NY 11235-6666
Phone (718) 332-2713

Other identifiers 1

IdentifierTypeStateIssuer
02226795MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1481587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484784000000",
    "number": "1225572001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 OCEANA DR W APT 2C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112356666",
            "telephone_number": "718-332-2713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 OCEANA DR.W 2C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11235",
            "telephone_number": "718-332-2713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TT MEDICAL WELLNESS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-13",
        "last_updated": "2017-01-19",
        "status": "A",
        "authorized_official_last_name": "TSIFRINOVICH",
        "authorized_official_first_name": "TATYANA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "718-332-2713"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "221721",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NY",
            "license": "221721",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NY",
            "license": "221721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02226795",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2017; 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.