Individual provider Active NPI

Nosakhare Douglas Tongo, MD

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1295147734
Registry record updated Sep 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
296245 Issued in NY
Practice address
Brookdale Plaza
One
Brooklyn, NY 11212
Phone
(718) 240-6205
NPI assigned
Jun 2, 2014
Last updated
Sep 22, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 296245 NY Primary

Addresses

Primary practice location

Brookdale Plaza
One
Brooklyn, NY 11212

Mailing address

1136 Fortune CT
Wantagh, NY 11793-2759
Phone (347) 831-6858

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210908002614 NY Practitioner - NephrologyPractitioner - Internal Medicine 7416353974 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

996 Middle Country Rd
Selden, NY 11784-2511
Phone (631) 736-5900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.33 of 100Reported as group
Quality
82.1
Promoting interoperability
100
Improvement activities
40
Cost
72.34

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine Associates, PC Internal Medicine CurrentSince Oct 1, 2021 Accepting new patients
Internal Medicine Associates, PC Internal Medicine CurrentSince Oct 1, 2021 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Mar 12, 2022 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Mar 12, 2022 Accepting new patients
City Medical of Upper East Side, PLLC Current Accepting new patients
Cogent Medical Care PC Internal Medicine CurrentSince Jan 1, 2024 Accepting new patients
City Medical of Upper East Side, PLLC Past Accepting new patients

Locations

3111 Steinway St
Astoria, NY 11103
Phone (718) 475-2345

169 Riverside Dr
Binghamton, NY 13905
Phone (607) 798-5111

565 Abbott Rd
Rm 8632
Buffalo, NY 14220
Phone (607) 798-5671

25710 Union Tpke
Glen Oaks, NY 11004
Phone (718) 343-7200

5499 Route 347
Mount Sinai, NY 11766
Phone (631) 331-3910

336 E 86th St
New York, NY 10028
Phone (212) 772-3627

21422 73rd Ave
Oakland Gdns, NY 11364
Phone (718) 347-3500

101 Hospital Rd
Patchogue, NY 11772
Phone (631) 654-7100

243 Boyle Rd
Selden, NY 11784
Phone (631) 320-1247

996 Middle Country Rd
Selden, NY 11784
Phone (631) 736-5900

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: nosakhare.tongo.1@2983.direct.athenahealth.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1401667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695340800000",
    "number": "1295147734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1136 FORTUNE CT",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117932759",
            "telephone_number": "347-831-6858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BROOKDALE PLAZA",
            "address_2": "ONE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11212",
            "telephone_number": "718-240-6205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TONGO",
        "first_name": "NOSAKHARE",
        "middle_name": "DOUGLAS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-02",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "296245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.