Individual provider Active NPI

Hetal Tangal

  • Pediatrics Physician
  • Brooklyn, NY
National Provider Identifier
1336189851
Registry record updated Oct 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
230851 Issued in NY
Practice address
465 New Lots Ave
Brooklyn, NY 11207-6414
Phone
(718) 240-8900
Fax
(718) 240-8926
NPI assigned
Jun 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 230851 NY Primary

Addresses

Primary practice location

465 New Lots Ave
Brooklyn, NY 11207-6414

Mailing address

465 New Lots Ave
Brooklyn, NY 11207-6414
Phone (718) 240-8950

Other identifiers 1

IdentifierTypeStateIssuer
02640260MedicaidNY

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
I20041129000756 NY Practitioner - Pediatric Medicine 3870558190 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Brookdale Hospital Medical Center CurrentSince Dec 5, 2010 Accepting new patients
Brookdale Hospital Medical Center CurrentSince Dec 5, 2010 Accepting new patients
Interfaith Professional Physician Services, P.C. Pediatrics CurrentSince Jun 1, 2024 Accepting new patients

Locations

1 Brookdale Plz
Brooklyn, NY 11212
Phone (718) 240-5212

1873 Eastern Pkwy
Brooklyn, NY 11233
Phone (718) 240-5133

465 New Lots Ave
Brooklyn, NY 11207
Phone (718) 240-5133

2554 Linden Blvd
Brooklyn, NY 11208
Phone (718) 240-5132

1545 Atlantic Ave
Brooklyn, NY 11213
Phone (718) 613-4175

1235 Linden Blvd
Fl 2
Brooklyn, NY 11212
Phone (718) 240-7143

Networks

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

Organizations & group practices 4

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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382572800000",
    "number": "1336189851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 NEW LOTS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112076414",
            "telephone_number": "718-240-8950",
            "fax_number": "718-240-8926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 NEW LOTS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112076414",
            "telephone_number": "718-240-8900",
            "fax_number": "718-240-8926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANGAL",
        "first_name": "HETAL",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2013-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "230851",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02640260",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.