Individual provider Active NPI

Paul Tartter, MD

  • Surgery Physician
  • New York, NY
National Provider Identifier
1346229366
Registry record updated Nov 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
135487 Issued in NY
Practice address
5 Columbus Cir
8TH Floor
New York, NY 10019-1412
Phone
(212) 664-9323
NPI assigned
Jan 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 135487 NY Primary

Addresses

Primary practice location

5 Columbus Cir
8TH Floor
New York, NY 10019-1412

Mailing address

5 Columbus Cir
8TH Floor
New York, NY 10019-1412
Phone (212) 664-9323

Other identifiers 1

IdentifierTypeStateIssuer
00716472MedicaidNY

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
I20040719000103 NY Practitioner - General SurgeryPractitioner - Surgical Oncology 3971582461 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai Surgery CurrentSince Jan 1, 2016 Accepting new patients
Icahn School of Medicine at Mount Sinai Surgery Current Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Jan 1, 2016 Accepting new patients
Icahn School of Medicine at Mount Sinai Past Accepting new patients
St Lukes Roosevelt Community Care Past Accepting new patients
Roosevelt Surgery Center, LLC PastSince Apr 24, 2010 Accepting new patients
North Shore Health System Medical Faculty Group Practice Inc PastSince Jan 2, 2017 Accepting new patients
Icahn School of Medicine at Mount Sinai Past Accepting new patients

Locations

10 Union Sq E
New York, NY 10003
Phone (212) 253-6800

619 W 54th St
New York, NY 10019
Phone (212) 231-7778

1090 Amsterdam Ave
Ste 10A
New York, NY 10025
Phone (212) 523-5222

425 W 59th St
New York, NY 10019
Phone (212) 376-3180

1000 10th Ave
New York, NY 10019
Phone (212) 523-2369

425 W 59th St
Ste 7A
New York, NY 10019
Phone (212) 523-7500

Organizations & group practices 8

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": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541635200000",
    "number": "1346229366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 COLUMBUS CIR",
            "address_2": "8TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191412",
            "telephone_number": "212-664-9323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 COLUMBUS CIR",
            "address_2": "8TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191412",
            "telephone_number": "212-664-9323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARTTER",
        "first_name": "PAUL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2018-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "135487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00716472",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.