Active NPI
Bernard Tawfik
- Otolaryngology Physician
- Glen Cove, NY
National Provider Identifier
1245223015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 115902 1
- Practice address
- 3 School St
Suite 304
Glen Cove, NY 11542-2548 - Phone
- (516) 671-0085
- Fax
- (516) 671-0272
- NPI assigned
- Aug 26, 2005
- 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 |
|---|---|---|---|---|
| Pediatric Otolaryngology Physician | 207YP0228X | 115902 1 | NY | |
| Otolaryngology Physician | 207Y00000X | 115902 1 | NY | Primary |
| Otolaryngic Allergy Physician | 207YX0602X | 115902 1 | NY |
Addresses
Primary practice location
3 School St
Suite 304
Glen Cove, NY 11542-2548
Mailing address
3 School St
Suite 304
Glen Cove, NY 11542-2548
Phone (516) 671-0085
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 115902 1 | NY | MD | Otolaryngology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204502400000",
"number": "1245223015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 SCHOOL ST",
"address_2": "SUITE 304",
"city": "GLEN COVE",
"state": "NY",
"postal_code": "115422548",
"telephone_number": "516-671-0085",
"fax_number": "516-671-0272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 SCHOOL ST",
"address_2": "SUITE 304",
"city": "GLEN COVE",
"state": "NY",
"postal_code": "115422548",
"telephone_number": "516-671-0085",
"fax_number": "516-671-0272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAWFIK",
"first_name": "BERNARD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-26",
"last_updated": "2008-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "207YP0228X",
"taxonomy_group": "",
"desc": "Otolaryngology, Pediatric Otolaryngology",
"state": "NY",
"license": "115902 1",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "NY",
"license": "115902 1",
"primary": true
},
{
"code": "207YX0602X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otolaryngic Allergy",
"state": "NY",
"license": "115902 1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glen Cove, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.