Individual provider Active NPI

Svetlana B Ten, MD

  • Pediatric Endocrinology Physician
  • Staten Island, NY
National Provider Identifier
1316932015
Registry record updated Jan 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X
License
239969 Issued in NY
Practice address
2691 Hylan Blvd
Suite D
Staten Island, NY 10306-4357
Phone
(718) 228-8500
Fax
(718) 228-8500
NPI assigned
Sep 19, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Endocrinology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080P0205X 239969 NY Primary

Addresses

Primary practice location

2691 Hylan Blvd
Suite D
Staten Island, NY 10306-4357

Mailing address

77 Whitman Ave
Staten Island, NY 10308-3226
Phone (718) 228-8500

Other practice location 1

355 Bard Ave
Staten Island, NY 10310-1664
Phone (718) 818-1234

Other identifiers 13

IdentifierTypeStateIssuer
001640-A15OtherNYHEALTH FIRST
132690101OtherNYHEALTH PLUS
3X2442OtherNYEMPIRE BCBS
4C3502OtherNYHEALTH NET
7810367OtherNYAETNA PPO
001640OtherNYHIP
2213288 02OtherNYUNITED HEALTH CARE
TS1640OtherNYATLANTIS HEALTH
0100704-02OtherNYAMERICHOICE
02350558MedicaidNY
2697546OtherNYGHI
P2671194OtherNYOXFORD HEATLH PLAN
3058406OtherNYAETNA USHC HMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20060202000505 NY Practitioner - EndocrinologyPractitioner - Pediatric Medicine 2466466099 Reassigns benefits to 1 organization
I20230228001244 NJ Practitioner - EndocrinologyPractitioner - Pediatric Medicine 2466466099 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Pediatric Medicine
Education
Other, 1984
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2691 Hylan Blvd D
Staten Island, NY 10306-4357
Phone (718) 228-8500

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rutgers Health-RWJ Scleroderma Program Single Specialty CurrentSince Jan 15, 2023 Accepting new patients
Rutgers Health-RWJ Scleroderma Program CurrentSince Jan 15, 2023 Accepting new patients
Ten'S Medical P.C Single Specialty CurrentSince Mar 15, 2014 Accepting new patients
Rutgers Health-RWJ Scleroderma Program Single Specialty Current Accepting new patients
MMC Pediatrics Faculty Practice Single Specialty Past Accepting new patients
University Physicians of Brooklyn, Inc. Single Specialty Past Accepting new patients

Locations

760 Amboy Ave
Edison, NJ 08837
Phone (732) 494-1149

125 Paterson St
Ste 5100
New Brunswick, NJ 08901
Phone (732) 235-7060

89 French St
New Brunswick, NJ 08901
Phone (732) 235-6230

125 Paterson St
Ste 6100
New Brunswick, NJ 08901
Phone (732) 235-6561

2691 Hylan Blvd
#D
Staten Island, NY 10306
Phone (718) 228-8500

Networks

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

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578441600000",
    "number": "1316932015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 WHITMAN AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103083226",
            "telephone_number": "718-228-8500",
            "fax_number": "718-228-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2691 HYLAN BLVD",
            "address_2": "SUITE D",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103064357",
            "telephone_number": "718-228-8500",
            "fax_number": "718-228-8500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "355 Bard Ave",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103101664",
            "country_code": "US",
            "telephone_number": "718-818-1234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEN",
        "first_name": "SVETLANA",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-19",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0205X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "NY",
            "license": "239969",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH FIRST",
            "identifier": "001640-A15",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLUS",
            "identifier": "132690101",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BCBS",
            "identifier": "3X2442",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "4C3502",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "7810367",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "001640",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "2213288 02",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATLANTIS HEALTH",
            "identifier": "TS1640",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "0100704-02",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02350558",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "2697546",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEATLH PLAN",
            "identifier": "P2671194",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA USHC HMO",
            "identifier": "3058406",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.