Tamara Sibalic-Mandic, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

231279 Issued in NY

Practice address

88 Old Town Rd
Staten Island, NY 10304-4212

Phone

(732) 306-7899

Fax

(732) 654-8856

NPI assigned

Aug 9, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

21.1 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

70.34

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Tamara Sibalic-Mandic Physician Internal Medicine PC

  • Internal Medicine Physician
  • Staten Island, NY
  • NPI 1720870496
  Medicare reassignment NPD Authorized official
• Carmel Richmond Nursing Home, Inc.

  • Skilled Nursing Facility
  • Staten Island, NY
  • NPI 1023097698
  NPD (past)
• Saverimuttu Medical PC

  • Infectious Disease Physician
  • Staten Island, NY
  • NPI 1649520685
  NPD (past)

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1285635565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 LEE LEE LN",
            "city": "LAURENCE HARBOR",
            "state": "NJ",
            "postal_code": "088792904",
            "telephone_number": "732-306-7899",
            "fax_number": "732-654-8856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 OLD TOWN RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103044212",
            "telephone_number": "732-306-7899",
            "fax_number": "732-654-8856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIBALIC-MANDIC",
        "first_name": "TAMARA",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-09",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "231279",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03405658",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Si Senior Center Inc
• Si. Senior Lifestyle Center Inc
• Si.Senior Lifestyle Center Inc
• Kasandra Joy Sia, L.AC
• Sial Acquisition LLC
• Merve Sica, M.S., ED.
• Glenn Christian Sicari
• Michael A Sicat, MD
• Cristalrose Sicca
• Rivka C Sicker, MS. ED, SBL

• Internal Medicine Physician in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; 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.

Verify at the official NPI Registry.