Mario Francis Tagliagambe Jr., M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

181967 Issued in NY

Practice address

32 Hyatt Ave
Yonkers, NY 10704-4311

Phone

(914) 803-1100

Fax

(914) 337-2803

NPI assigned

Jan 10, 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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BJJACA

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.

• Adirondack Medical Center

  • Skilled Nursing Facility
  • Tupper Lake, NY
  • NPI 1780694059
  NPD (past)
• South Yonkers Family Medicine,PLLC

  • Specialist
  • Yonkers, NY
  • NPI 1568402972
  NPD (past)
• St Joseph'S Medical Practice PC

  • Family Medicine Physician
  • Yonkers, NY
  • NPI 1407193899
  NPD (past)

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350259200000",
    "number": "1407906969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 HYATT AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107044311",
            "telephone_number": "914-803-1100",
            "fax_number": "914-337-2803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 HYATT AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107044311",
            "telephone_number": "914-803-1100",
            "fax_number": "914-337-2803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAGLIAGAMBE",
        "first_name": "MARIO",
        "middle_name": "FRANCIS",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2012-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "181967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Symphony Medical PC
• Kelly Syracuse, PHARMD
• T.Y. Kim, M.D., P.C.
• Abigail Tabora, MHC-LP
• Lara Kristine Joy Tabotabo
• Michele Talamo
• Edgardo T Talatala, RPH
• Susan Talesnick, RPH
• Tamar Essences Inc,
• Sareska Tamayo

• Family Medicine Physician in Yonkers, NY
• Providers in Yonkers, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2012; 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.