Tania Mason-Eastmond, DO

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

25MB07026100 Issued in NJ

Practice address

5301 Broadway
West New York, NJ 07093-2622

Phone

(201) 866-9320

Fax

(201) 867-9183

NPI assigned

Jul 21, 2006

Last updated

Mar 13, 2012By the provider in NPPES

Sex

Female

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 Osteopathy

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Central Jersey Medical Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Newark, NJ
  • NPI 1710199468
  NPD (past)

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331596800000",
    "number": "1356362032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 HARBOR KY",
            "city": "SECAUCUS",
            "state": "NJ",
            "postal_code": "070942203",
            "telephone_number": "201-865-7342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 BROADWAY",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070932622",
            "telephone_number": "201-866-9320",
            "fax_number": "201-867-9183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON-EASTMOND",
        "first_name": "TANIA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2012-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NJ",
            "license": "25MB07026100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8330603",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abegail G Martinez, OTR/L
• Emelyn Maria Martinez, MD
• Frances M. Martinez, LCSW
• Jeanette Landa Martinez, PHARMD
• Lisandra Martinez
• Matthew B. Welch DPM
• Joan Leslie McEntee, A.P.N., C.
• Meepco LLC
• Megan Jones, LCSW LLC
• Mehdi T. Shaari,M.D.,P.C.

• Pediatric Adolescent Medicine Physician in West New York, NJ
• Providers in West New York, NJ by specialty
• Pediatric Adolescent Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2012; 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.