Taj Medical PLLC

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

TAJ MEDICAL PLLC

Doing business as

Taj Medical PLLC

Practice address

10925 111TH St
South Ozone Park, NY 11420-1015

Phone

(347) 385-6059

NPI assigned

Mar 27, 2020

Organization subpart

No

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

Authorized official

Name

Tajdhary Tiwari, MDNPI 1427472182

Title

Owner

Phone

(347) 385-6059

Specialties & licenses 1

Addresses

Other names 1

• TAJ MEDICAL PLLC Doing business as

Practitioners 1

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

• Tajdhary Tiwari, MD

  • Emergency Medicine Physician
  • South Ozone Park, NY
  • NPI 1427472182
  NPD Authorized official

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

{
    "created_epoch": "1585267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585267200000",
    "number": "1477180479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10923 111TH ST",
            "city": "SOUTH OZONE PARK",
            "state": "NY",
            "postal_code": "114201015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10925 111TH ST",
            "city": "SOUTH OZONE PARK",
            "state": "NY",
            "postal_code": "114201015",
            "telephone_number": "347-385-6059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAJ MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-27",
        "last_updated": "2020-03-27",
        "certification_date": "2020-03-27",
        "status": "A",
        "authorized_official_last_name": "TIWARI",
        "authorized_official_first_name": "TAJDHARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-385-6059",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TAJ MEDICAL PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Charles Stich
• Stuart E Hisler M.D. PLLC
• Susan Samuel Consulting Inc.
• Ashley Symister, RN
• Hebba B Taha
• Marsha Grace Tasher, MSW
• Elijah Roberto Tavarez
• Tyanda Taylor
• Amrita Teekasingh
• Telemed Care

• Emergency Medicine Physician in South Ozone Park, NY
• Providers in South Ozone Park, NY by specialty
• Emergency Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.