Active NPI
Ee Tein Tay, MD
- Pediatric Emergency Medicine (Emergency Medicine) Physician
- New York, NY
National Provider Identifier
1255522926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Emergency Medicine (Emergency Medicine) Physician
- License
- 233045
- Practice address
- 462 1St Ave
Bellevue Hospital Center RM 9W25
New York, NY 10016 - Phone
- (212) 562-3161
- NPI assigned
- Aug 7, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Emergency Medicine (Emergency Medicine) Physician | 207PP0204X | 233045 | NY | Primary |
| Pediatric Emergency Medicine (Emergency Medicine) Physician | 207PP0204X | A100474 | CA |
Addresses
Primary practice location
462 1St Ave
Bellevue Hospital Center RM 9W25
New York, NY 10016
Mailing address
462 1St Ave
Bellevue Hospital Center RM 9W25
New York, NY 10016
Phone (212) 562-3161
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A100474 | CA | MD | Pediatric Emergency Medicine (Emergency Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York University | Current | Accepting new patients | |
| Fpa Hospital Based | Current | Accepting new patients | |
| Fpa Hospital Based | Current | Accepting new patients | |
| New York University | Current | Accepting new patients | |
| Fpa Hospital Based | Current | Accepting new patients |
Locations
111 E 210th St
Bronx, NY 10467
1176 5th Ave
New York, NY 10029
Phone (212) 241-6237
550 1st Ave
New York, NY 10016
Phone (212) 263-3293
1000 10th Ave
New York, NY 10019
Phone (212) 523-2369
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
Interoperability endpoints
- etay255503@nyumc.direct-ci.com
Organizations & group practices 5
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653955200000",
"number": "1255522926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "462 1ST AVE",
"address_2": "BELLEVUE HOSPITAL CENTER RM 9W25",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10016",
"telephone_number": "212-562-3161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "462 1ST AVE",
"address_2": "BELLEVUE HOSPITAL CENTER RM 9W25",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10016",
"telephone_number": "212-562-3161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAY",
"first_name": "EE",
"middle_name": "TEIN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-07",
"last_updated": "2022-05-31",
"certification_date": "2022-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "207PP0204X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Pediatric Emergency Medicine",
"state": "NY",
"license": "233045",
"primary": true
},
{
"code": "207PP0204X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Pediatric Emergency Medicine",
"state": "CA",
"license": "A100474",
"primary": false
}
],
"identifiers": [],
"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 May 31, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.