Active NPI
Tanya Orie Rogo, M.D.
- Pediatric Infectious Diseases Physician
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Infectious Diseases Physician
- License
- MD13436
- Practice address
- 1276 Fulton Ave RM 208
Bronx, NY 10456-3402 - Phone
- (171) 890-1891
- Fax
- (718) 901-8918
- NPI assigned
- May 5, 2008
- Last updated
- Jul 20, 2021
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 13436 | RI | |
| Pediatrics Physician | 208000000X | 288135 | NY | |
| Pediatric Infectious Diseases Physician | 2080P0208X | MD13436 | RI | Primary |
Addresses
Primary practice location
1276 Fulton Ave RM 208
Bronx, NY 10456-3402
Mailing address
1276 Fulton Ave RM 208
Bronx, NY 10456-3402
Phone (718) 901-8918
Other practice location 1
593 Eddy Street
Providence, RI 02903-4970
Phone (401) 519-1604
Other practice location 2
593 Eddy St
Providence, RI 02903-4923
Phone (401) 444-6195
Other practice location 3
101 Dudley St
Providence, RI 02905-2401
Phone (401) 274-1122
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 939025129 | Other | RI | RI MEDICARE GROUP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13436 | RI | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affinity Physicians LLC | Current | Accepting new patients | |
| Affinity Physicians LLC. | Pediatrics | Current | Accepting new patients |
| The Miriam Hospital | Current | Accepting new patients | |
| Rhode Island Hospital | Pediatrics | Current | Accepting new patients |
| Rhode Island Hospital | Current | Accepting new patients |
Locations
1454 S County Trl
Ste 2100
East Greenwich, RI 02818
Phone (401) 606-2000
101 Dudley St
Providence, RI 02905
Phone (401) 453-7950
1125 N Main St
Providence, RI 02904
Phone (401) 793-2928
117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318
164 Summit Ave
Providence, RI 02906
Phone (401) 793-2104
180 Corliss St
Ste E1
Providence, RI 02904
Phone (401) 793-2928
593 Eddy St
Providence, RI 02903
593 Eddy St
Ste 5
Providence, RI 02903
Phone (401) 444-3996
455 Toll Gate Rd
Warwick, RI 02886
Phone (401) 737-7000
Organizations & group practices 6
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.
-
- Pediatrics Physician
- Providence, RI
- NPI 1861420333
-
- Medical Specialty Clinic/Center
- Providence, RI
- NPI 1275810434
-
dba The Miriam Hospital TB Clinic
- Infectious Disease Physician
- Providence, RI
- NPI 1568567790
-
- Anesthesiology Physician
- Providence, RI
- NPI 1053038471
-
- General Acute Care Hospital
- Providence, RI
- NPI 1972768174
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626739200000",
"number": "1417123886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1276 FULTON AVE RM 208",
"city": "BRONX",
"state": "NY",
"postal_code": "104563402",
"telephone_number": "718-901-8918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1276 FULTON AVE RM 208",
"city": "BRONX",
"state": "NY",
"postal_code": "104563402",
"telephone_number": "171-890-1891",
"fax_number": "718-901-8918"
}
],
"practiceLocations": [
{
"address_1": "593 Eddy Street",
"address_purpose": "LOCATION",
"city": "Providence",
"state": "RI",
"postal_code": "029034970",
"country_code": "US",
"telephone_number": "401-519-1604",
"fax_number": "401-272-0538",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "593 Eddy St",
"address_purpose": "LOCATION",
"city": "Providence",
"state": "RI",
"postal_code": "029034923",
"country_code": "US",
"telephone_number": "401-444-6195",
"fax_number": "401-444-6378",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "101 Dudley St",
"address_purpose": "LOCATION",
"city": "Providence",
"state": "RI",
"postal_code": "029052401",
"country_code": "US",
"telephone_number": "401-274-1122",
"fax_number": "401-453-7571",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROGO",
"first_name": "TANYA",
"middle_name": "ORIE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-05",
"last_updated": "2021-07-20",
"certification_date": "2021-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "RI",
"license": "13436",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "288135",
"primary": false
},
{
"code": "2080P0208X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Infectious Diseases",
"state": "RI",
"license": "MD13436",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RI MEDICARE GROUP",
"identifier": "939025129",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; 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.