Active NPI
Syeda Tahera, M.D.
- Internal Medicine Physician
- Middletown, NY
National Provider Identifier
1295833655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 119485
- Practice address
- 111 Maltese Dr
Middletown, NY 10940-2115 - Phone
- (845) 342-4774
- Fax
- (845) 342-4774
- NPI assigned
- Sep 20, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 119485 | NY | Primary |
Addresses
Primary practice location
111 Maltese Dr
Middletown, NY 10940-2115
Mailing address
111 Maltese Dr
Middletown, NY 10940-2115
Phone (845) 342-4774
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Horizon Medical Group, P.C. | Internal Medicine | Past | Accepting new patients |
| Horizon Medical Group, P.C. | Past | Accepting new patients | |
| Timber Ridge Medical Assoc, P.C. | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DGICBA
Organizations & group practices 3
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.
-
- Durable Medical Equipment & Medical Supplies
- Yorktown Heights, NY
- NPI 1386520021
-
- Pulmonary Disease Physician
- Middletown, NY
- NPI 1073647673
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308182400000",
"number": "1295833655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 MALTESE DR",
"city": "MIDDLETOWN",
"state": "NY",
"postal_code": "109402115",
"telephone_number": "845-342-4774",
"fax_number": "845-342-4774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 MALTESE DR",
"city": "MIDDLETOWN",
"state": "NY",
"postal_code": "109402115",
"telephone_number": "845-342-4774",
"fax_number": "845-342-4774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAHERA",
"first_name": "SYEDA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2011-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "119485",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Middletown, NY
- Tausif Syed, MD
- Synergy Physical Therapy and Wellness
- Synergy Physical Therapy and Wellness
- James Francis Szigethy, R.PH.
- Priyanka Tadepalli, CPNP-PC
- Astrid J Tangarife
- Tara L. Montemurro, Licensed Behavior Analyst, P.C
- Tara L. Montemurro, Licensed Behavior Analyst, P.C
- Daniel W Tarallo, PA
- Tas Pharmacy Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.