Sanjay Om Tewari, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

25MA07926500 Issued in NJ

Practice address

5645 Main St
3Rd Floor-Cardiac Anesthesiology
Flushing, NY 11355-5045

Phone

(718) 670-1080

Fax

(718) 670-2597

NPI assigned

Nov 21, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• New Jersey Healthcare Specialists PC

  • Anesthesiology Physician
  • Hackensack, NJ
  • NPI 1174585780
  NPD (past)

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471824000000",
    "number": "1326021742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 FRIENDLY RD",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118016311",
            "telephone_number": "212-731-2154",
            "fax_number": "718-670-2597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5645 MAIN ST",
            "address_2": "3RD FLOOR-CARDIAC ANESTHESIOLOGY",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555045",
            "telephone_number": "718-670-1080",
            "fax_number": "718-670-2597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEWARI",
        "first_name": "SANJAY",
        "middle_name": "OM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-21",
        "last_updated": "2016-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA07926500",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "230982",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0071676",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Wallace Tenney
• Christopher John Tenorio, MD
• Darlene Tenoyo, NP
• Esther Golda Tepfer, LMSW
• Sarah M Tepfer
• Hogla Texidor, PROFESSIONAL DIPLOMA
• TH Acupuncture P.C.
• TH Wellness Acupuncture PC
• Jaykumar Thakkar, PHYSICAL THERAPIST
• Vishakha Thapar

• Anesthesiology Physician in Flushing, NY
• Providers in Flushing, NY by specialty
• Anesthesiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.