Siamak Tadayon, PAC

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

008794-1 Issued in NY

Practice address

1901 First Av.
Metropolitan Hospital Surgery Dep.
Ny, NY 10029

Phone

(212) 423-6614

NPI assigned

Jan 22, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Networks

• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H1722

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.

• Metropolitan Medical Practice Plan PC

  • General Practice Physician
  • New York, NY
  • NPI 1306138383
  Medicare reassignment
• Physician Affiliate Group of New York PC

  • Registered Dietitian
  • New York, NY
  • NPI 1013375526
  Medicare reassignment

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366596272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7139 SUTTON PL",
            "address_2": "1ST FLOOR",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113654135",
            "telephone_number": "646-251-3461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 FIRST AV.",
            "address_2": "METROPOLITAN HOSPITAL SURGERY DEP.",
            "city": "NY",
            "state": "NY",
            "postal_code": "10029",
            "telephone_number": "212-423-6614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TADAYON",
        "first_name": "SIAMAK",
        "credential": "PAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "008794-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Rae Summer, LCAT, LMHC, MT-BC
• Catherine Marzon Superable, PT
• Marcy Susman, M.D.
• Carol M Sussal, LCSW SOLE PROPRIETOR
• Doreen P Sweeting, MD
• Yvette Tanhehco, M.D.
• Jessica Teitelbaum
• Reshma Thomas, NP
• Shanti Thomas, DMD
• Valerie Linnette Thomas, MS,RD,CDN

• Surgical Physician Assistant in Ny, NY
• Providers in Ny, NY by specialty
• Surgical Physician Assistant 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.