Active NPI
Tatyana Groysman, D.O.
- Dermatology Physician
- New York, NY
National Provider Identifier
1346477445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 270290
- Practice address
- 150 W 55TH St
New York, NY 10019-5586 - Phone
- (212) 991-6490
- NPI assigned
- Jun 16, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatopathology Physician | 207ND0900X | 270290 | NY | |
| Dermatology Physician | 207N00000X | 270290 | NY | Primary |
Addresses
Primary practice location
150 W 55TH St
New York, NY 10019-5586
Mailing address
145 E 32ND St
10TH Floor
New York, NY 10016-6055
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 2009
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
150 W 55TH St
FRNT 1G
New York, NY 10019-5586
Phone (212) 991-6490
1545 Unionport Rd
Bronx, NY 10462-7714
Phone (718) 892-2201
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 118 |
| Skin biopsy | 42 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 270290 | NY | MD | Dermatopathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NSS Dermatology PLLC | Dermatology | Current | Accepting new patients |
| Park South Medical PLLC | Current | Accepting new patients | |
| Ronald R Brancaccio MD & Peter Saitta DO PC | Dermatology | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
Organizations & group practices 3
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.
-
- Dermatology Physician
- New York, NY
- NPI 1700051158
-
- Internal Medicine Physician
- Bronx, NY
- NPI 1427252626
-
- Dermatology Physician
- Brooklyn, NY
- NPI 1386719425
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741305600000",
"number": "1346477445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 E 32ND ST",
"address_2": "10TH FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100166055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 W 55TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100195586",
"telephone_number": "212-991-6490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROYSMAN",
"first_name": "TATYANA",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-16",
"last_updated": "2025-03-07",
"certification_date": "2025-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "207ND0900X",
"taxonomy_group": "",
"desc": "Dermatology, Dermatopathology",
"state": "NY",
"license": "270290",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NY",
"license": "270290",
"primary": true
}
],
"identifiers": [],
"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 Mar 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.