Nasser M Tejaratchi, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

097336 Issued in NY

Practice address

1101 White Plains Road
PH
Bronx, NY 10472

Phone

(718) 863-3941

NPI assigned

Mar 23, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346367505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 WHITE PLAINS ROAD",
            "address_2": "PH",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10472",
            "telephone_number": "718-863-3941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 WHITE PLAINS ROAD",
            "address_2": "PH",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10472",
            "telephone_number": "718-863-3941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEJARATCHI",
        "first_name": "NASSER",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "097336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00163864",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Luis Tejada
• Mariel D Tejada
• Marlene Tejada
• Mazier Tejada
• Nergesh Tejani
• Yamilet Tejeda Dominguez
• Evelyn Tejeda, DMD
• Steffy Sara Tejeda
• Uma Tejwani
• Rediet Agonafir Tekalign, MD

• Internal Medicine Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.