Individual provider Active NPI

Tatiana Dmitriyevna Karikh, M.D.

  • Specialist
  • New York, NY
National Provider Identifier
1326163080
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
214799-1 Issued in NY
Practice address
304 Park Ave S
New York, NY 10010-4301
Phone
(212) 213-6155
Fax
(212) 684-0692
NPI assigned
Mar 20, 2007
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 214799-1 NY Primary

Addresses

Primary practice location

304 Park Ave S
New York, NY 10010-4301

Mailing address

106 Columbia CT
Freehold, NJ 07728-5390
Phone (212) 215-6155

Other identifiers 1

IdentifierTypeStateIssuer
214799OtherNYLICENSE #

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
214799-1NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Place for Achieving Total Health Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1326163080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 COLUMBIA CT",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077285390",
            "telephone_number": "212-215-6155",
            "fax_number": "212-684-0692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 PARK AVE S",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100104301",
            "telephone_number": "212-213-6155",
            "fax_number": "212-684-0692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARIKH",
        "first_name": "TATIANA",
        "middle_name": "DMITRIYEVNA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "214799-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "214799",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.