Laurence R. Tancredi, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

132923 Issued in NY

Practice address

129B E 71St St
New York, NY 10021-4201

Phone

(212) 288-5197

Fax

(212) 877-6755

NPI assigned

Jan 6, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Dec 8, 2016 through Dec 8, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1168041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275681454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 RIVERSIDE DR",
            "address_2": "APT. 14-A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100231603",
            "telephone_number": "212-724-6217",
            "fax_number": "212-877-6755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129B E 71ST ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214201",
            "telephone_number": "212-288-5197",
            "fax_number": "212-877-6755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANCREDI",
        "first_name": "LAURENCE",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "132923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tomomi Tanaka, L.AC.
• Christopher Tanayan, M.D.
• Lauren Nicole Tancer, DO
• Renzo Dominique Santos Tanchico, DPT
• Marguerite Marie Tancraitor, MS.ED., TVI
• Rujuta Rajendra Tandel
• Tina Tandilashvili I
• Madonna Tandingan
• Pranai Tandon
• Priyanka B Tandon, PA-C

• Psychiatry Physician in New York, NY
• Providers in New York, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.