Tatyana Fast MD PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

TATYANA FAST MD PC

Practice address

160 White Rd Ste 102
Little Silver, NJ 07739-1167

Phone

(732) 450-0062

Fax

(732) 450-0616

NPI assigned

Jun 2, 2022

Organization subpart

No

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

Authorized official

Name

Tatyana Fast, MD

Title

President

Phone

(732) 450-0062

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Donna Castellano, RDN

  • Obesity and Weight Management Nutrition Registered Dietitian
  • Little Silver, NJ
  • NPI 1295417418
  Medicare reassignment NPD
• Tatyana Ponti, MD

  • Internal Medicine Physician
  • Little Silver, NJ
  • NPI 1811099005
  Medicare reassignment NPD

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

{
    "created_epoch": "1654128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654128000000",
    "number": "1437898905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 WHITE RD STE 102",
            "city": "LITTLE SILVER",
            "state": "NJ",
            "postal_code": "077391167",
            "telephone_number": "732-450-0062",
            "fax_number": "732-450-0616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 WHITE RD STE 102",
            "city": "LITTLE SILVER",
            "state": "NJ",
            "postal_code": "077391167",
            "telephone_number": "732-450-0062",
            "fax_number": "732-450-0616"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "160 White Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Little Silver",
            "state": "NJ",
            "postal_code": "077391167",
            "country_code": "US",
            "telephone_number": "732-450-0062",
            "fax_number": "732-450-0616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TATYANA FAST MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-02",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A",
        "authorized_official_last_name": "FAST",
        "authorized_official_first_name": "TATYANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-450-0062",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0052825",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shirah Suero, CNM
• Maureen Sullivan, MASTERS IN ABA
• Timothy Patrick Sullivan, MD
• Andrew Nicholas Sun, MD
• Nadina Sweeney, CNM
• Arlene Thoma, D.C.
• Thoughtful Mind With Tzvi LLC
• Nancy Tighe, LCSW
• Elizabeth Tomasulo, PSY.D.
• Randall Hayes Totten, RD

• Family Medicine Physician in Little Silver, NJ
• Providers in Little Silver, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.