Individual provider Active NPI

Tamara Shelevaya-Fainshtein

  • Anesthesiology Physician
  • Brooklyn, NY
National Provider Identifier
1376616482
Registry record updated Mar 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
231294-1 Issued in NY
Practice address
1540 Bath Ave
1A
Brooklyn, NY 11228-3823
Phone
(718) 232-3264
NPI assigned
Nov 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 231294-1 NY Primary

Addresses

Primary practice location

1540 Bath Ave
1A
Brooklyn, NY 11228-3823

Mailing address

1540 Bath Ave
1A
Brooklyn, NY 11228-3823
Phone (718) 232-3264

Other identifiers 1

IdentifierTypeStateIssuer
231294-1OtherNYLICENSE

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
I20171020000946 NY Practitioner - Anesthesiology 6204010598 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hudson Ambulatory Medical PLLCGroup PAC ID 9335531193, 16 clinicians

Practice addresses (Care Compare)

515 Madison Ave
FL 9
New York, NY 10022-5460
Phone (888) 589-8550

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
231294-1NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lenox Hill Pain Management and Spine PLLC CurrentSince Aug 8, 2020 Accepting new patients
R&N Anesthesia PLLC Anesthesiology CurrentSince Jul 22, 2017 Accepting new patients
Hudson Ambulatory Medical PLLC Anesthesiology CurrentSince Feb 1, 2022 Accepting new patients
Sedation Vacation Perioperative Medicine PLLC CurrentSince Sep 1, 2021 Accepting new patients
New York Medical and Diagnostic Services PC CurrentSince Sep 1, 2017 Accepting new patients
PBGS, LLC CurrentSince Mar 23, 2024 Accepting new patients
Glacier Cryo Medical P.C Anesthesiology Past Accepting new patients
Peninsula Radiology Associates P C Past Accepting new patients
Atlantic Anesthesiology PC Anesthesiology Past Accepting new patients
Karan Johar, MD, PLLC PastSince Aug 8, 2020 Accepting new patients
Agi Medical PLLC Past Accepting new patients

Locations

111 Town Square Pl
Ste 420
Jersey City, NJ 07310
Phone (201) 258-4700

14 DeKalb Ave
Fl 2
Brooklyn, NY 11201
Phone (718) 517-2244

14 DeKalb Ave
Fl 4
Brooklyn, NY 11201
Phone (718) 408-4999

14 DeKalb Ave
Ste 14
Brooklyn, NY 11201

1396 Myrtle Ave
Brooklyn, NY 11237
Phone (718) 878-4313

2315 86th St
#1
Brooklyn, NY 11214
Phone (718) 333-0093

515 Madison Ave
Fl 9
New York, NY 10022
Phone (212) 774-7633

10512 101st Ave
Ozone Park, NY 11416
Phone (718) 847-3600

944 N Broadway
Yonkers, NY 10701
Phone (914) 965-1234

Organizations & group practices 11

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": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426636800000",
    "number": "1376616482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 BATH AVE",
            "address_2": "1A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112283823",
            "telephone_number": "718-232-3264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 BATH AVE",
            "address_2": "1A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112283823",
            "telephone_number": "718-232-3264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELEVAYA-FAINSHTEIN",
        "first_name": "TAMARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2015-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "231294-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "231294-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.