Individual provider Active NPI

Tatyana Groysman, D.O.

  • Dermatology Physician
  • New York, NY
National Provider Identifier
1346477445
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
270290 Issued in NY
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

Updated by the provider on Mar 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160714002194 NY Practitioner - Dermatology 5496992968 Reassigns benefits to 2 organizations

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
NSS Dermatology PLLCGroup PAC ID 6204905516, 5 clinicians
Park South Medical PLLCGroup PAC ID 6608967898, 6 clinicians

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

ProcedureNumber of procedures
Removal of skin lesions118
Skin biopsy42

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
270290NYMDDermatopathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
NSS Dermatology PLLC Dermatology CurrentSince Feb 3, 2024 Accepting new patients
Park South Medical PLLC CurrentSince Jun 1, 2023 Accepting new patients
Ronald R Brancaccio MD & Peter Saitta DO PC Dermatology PastSince Feb 1, 2021 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.

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

Verify at the official NPI Registry.