Individual provider Active NPI

Tatiana Zaslavsky, DO

  • Internal Medicine Physician
  • Bronx, NY
National Provider Identifier
1477506301
Registry record updated Dec 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
221451 Issued in NY
Practice address
3871 Sedgwick Ave Apt 1B
Bronx, NY 10463-4433
Phone
(718) 432-1440
NPI assigned
May 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 221451 NY Primary

Addresses

Primary practice location

3871 Sedgwick Ave Apt 1B
Bronx, NY 10463-4433

Mailing address

1056 Edgewood LN
Fort Lee, NJ 07024-4231
Phone (201) 969-0240

Other identifiers 1

IdentifierTypeStateIssuer
02218660MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Theradynamics Physical Therapy Rehabilitation PC Past Accepting new patients
Theradynamics Physical Rehab Past Accepting new patients
Peninsula Medical Services PC Internal Medicine Past Accepting new patients

Organizations & group practices 3

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355875200000",
    "number": "1477506301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1056 EDGEWOOD LN",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070244231",
            "telephone_number": "201-969-0240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3871 SEDGWICK AVE APT 1B",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104634433",
            "telephone_number": "718-432-1440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZASLAVSKY",
        "first_name": "TATIANA",
        "name_prefix": "Ms.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2012-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "221451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02218660",
            "state": "NY"
        }
    ],
    "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 Dec 19, 2012; 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.