Tanjida Tasmin, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

026993-01 Issued in NY

Practice address

1041 3Rd Ave Ste 200
New York, NY 10065-8114

Phone

(212) 362-3470

Fax

(212) 362-3496

NPI assigned

Aug 25, 2021

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1629849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689379200000",
    "number": "1477220747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 3RD AVE STE 200",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100658114",
            "telephone_number": "212-362-3470",
            "fax_number": "212-362-3496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 3RD AVE STE 200",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100658114",
            "telephone_number": "212-362-3470",
            "fax_number": "212-362-3496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TASMIN",
        "first_name": "TANJIDA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-25",
        "last_updated": "2023-07-15",
        "certification_date": "2023-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "026993-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacey Beth Tashman, M.D
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• Amanda Tasolides
• Ngnam Julienne Tassa, PA-C
• Michael Tassavor, MD
• Jawad Tassawer
• Ioannis Tassiulas, M.D.

• Physician Assistant in New York, NY
• Providers in New York, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2023; 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.