Individual provider Active NPI

Tanya Masand, MD

  • Pediatric Critical Care Medicine Physician
  • Newark, NJ
National Provider Identifier
1457889594
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Critical Care Medicine PhysicianTaxonomy code 2080P0203X
License
25MA11857700 Issued in NJ
Practice address
185 S Orange Ave # MSBF-603
Newark, NJ 07103-2757
Phone
(963) 972-0740
NPI assigned
Jun 2, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 0101268708 VA
Student in an Organized Health Care Education/Training Program 390200000X
Pediatric Critical Care Medicine Physician 2080P0203X 25MA11857700 NJ Primary

Addresses

Primary practice location

185 S Orange Ave # MSBF-603
Newark, NJ 07103-2757

Mailing address

Pediatric Critical Care Medicine
201 Lyons Ave
Newark, NJ 07112
Phone (908) 347-8886

Other practice location 1

3300 Gallows Rd
Falls Church, VA 22042-3307
Phone (703) 776-4001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, NJ, NY3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20230110000069 DC Practitioner - HospitalistPractitioner - Pediatric Medicine 5395161681 Reassigns benefits to 1 organization
I20230918002914 NJ Practitioner - Pediatric Medicine 5395161681 Reassigns benefits to 3 organizations
I20251021001735 NY Practitioner - Pediatric Medicine 5395161681 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

245 Old Country Rd
Melville, NY 11747-2726

245 Old Country Rd
Melville, NY 11747-3807

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
338172NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
University Physician Associates of New Jersey Inc Pediatrics CurrentSince Aug 1, 2023 Accepting new patients
University Physician Associates of New Jersey Inc CurrentSince Aug 1, 2023 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Jul 15, 2024 Accepting new patients
Rwjbh Primary Care Services Pediatrics CurrentSince Jan 7, 2024 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Jul 15, 2024 Accepting new patients
Samaritan Pediatric Services, P.C. Pediatrics CurrentSince Aug 8, 2025 Accepting new patients
Inova Health Care Services CurrentSince Oct 1, 2022 Accepting new patients
Inova Health Care Services Pediatrics CurrentSince Oct 1, 2022 Accepting new patients
Rutgers NJMS Student in an Organized Health Care Education/Training Program PastSince Jul 24, 2022 Accepting new patients
Newark Beth Israel Medical Center Inc Past Accepting new patients

Locations

355 Grand St
Jersey City, NJ 07302
Phone (201) 915-2224

475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

25 Kilmer Dr
Ste 107
Morganville, NJ 07751
Phone (732) 385-5262

90 Bergen St
Newark, NJ 07103
Phone (973) 972-0037

201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455

30 Bergen St
#12
Newark, NJ 07107
Phone (973) 972-0037

8 Mountain Blvd
Ste J
Warren, NJ 07059
Phone (732) 893-0200

655 Deer Park Ave
Babylon, NY 11702
Phone (631) 321-2100

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

Interoperability endpoints

  • Direct secure messaging: tmasand249814@epicdirect.rwjbh.org

Organizations & group practices 10

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": "1496361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1457889594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PEDIATRIC CRITICAL CARE MEDICINE",
            "address_2": "201 LYONS AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "07112",
            "telephone_number": "908-347-8886",
            "fax_number": "973-926-6452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 S ORANGE AVE # MSBF-603",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071032757",
            "telephone_number": "963-972-0740"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3300 Gallows Rd",
            "address_purpose": "LOCATION",
            "city": "Falls Church",
            "state": "VA",
            "postal_code": "220423307",
            "country_code": "US",
            "telephone_number": "703-776-4001",
            "fax_number": "703-776-7113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASAND",
        "first_name": "TANYA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-02",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101268708",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "NJ",
            "license": "25MA11857700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

Verify at the official NPI Registry.