Active NPI
Tess Marie Becker, PA-C
- Physician Assistant
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 019079-1
- Practice address
- 1184 5TH Ave # P6-320
New York, NY 10029 - Phone
- (212) 241-7286
- NPI assigned
- Sep 25, 2015
- Last updated
- Sep 24, 2019
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 019079-1 | NY | Primary |
| Interventional Cardiology Physician | 207RI0011X | 019079 | NY | |
| Pediatric Cardiology Physician | 2080P0202X | 019079 | NY | |
| Vascular Surgery Physician | 2086S0129X | 019079 | NY |
Addresses
Primary practice location
1184 5TH Ave # P6-320
New York, NY 10029
Mailing address
1184 5TH Ave # P6-320
New York, NY 10029-6503
Phone (212) 241-7286
Other practice location 1
627 W 165th St
Suite 515
New York, NY 10032-3790
Phone (212) 312-5783
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Pine St
Poughkeepsie, NY 12601-3910
Phone (845) 483-0447
45 Reade PL
Poughkeepsie, NY 12601-3947
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019079 | NY | MD | Clinical Psychologist |
| 019079-1 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Icahn School of Medicine at Mount Sinai | Pediatric Cardiology | Current | Accepting new patients |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients |
Locations
1184 5th Ave
#P6320
New York, NY 10029
Phone (212) 241-7286
5 E 98th St
Fl 8
New York, NY 10029
Phone (212) 241-4410
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- tmb9014@direct.nyp.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Poughkeepsie, NY
- NPI 1437358033
-
dba Pediatric Department of Mount Sinai
- Pediatrics Physician
- New York, NY
- NPI 1275802811
Pediatric Cardiology
-
dba New York Eye & Ear Optical Shop
- Eyewear Supplier
- New York, NY
- NPI 1760227466
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Poughkeepsie, NY
- NPI 1740233899
-
dba Vassar Diagnostics
- Clinical Medical Laboratory
- Poughkeepsie, NY
- NPI 1780052514
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569283200000",
"number": "1356711949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1184 5TH AVE # P6-320",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100296503",
"telephone_number": "212-241-7286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1184 5TH AVE # P6-320",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10029",
"telephone_number": "212-241-7286"
}
],
"practiceLocations": [
{
"address_1": "627 W 165th St",
"address_2": "Suite 515",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100323790",
"country_code": "US",
"telephone_number": "212-312-5783",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BECKER",
"first_name": "TESS",
"middle_name": "MARIE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-25",
"last_updated": "2019-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "019079-1",
"primary": true
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "NY",
"license": "019079",
"primary": false
},
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "NY",
"license": "019079",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "NY",
"license": "019079",
"primary": false
}
],
"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 Sep 24, 2019; 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.