Ramon Modesto Tallaj, M.D.

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

204704 Issued in NY

Practice address

571 Academy Street
New York, NY 10034

Phone

(212) 567-0550

NPI assigned

Sep 22, 2006

Last updated

Jan 27, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Credentials

Doctor of Medicine

State licenses

Practice roles

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EBAEAA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Academy Medical Care PC

  • Internal Medicine Physician
  • New York, NY
  • NPI 1790809184
  Medicare reassignment NPD Authorized official
• A.W Medical Office, P.C

  • Internal Medicine Physician
  • Bronx, NY
  • NPI 1235316563
  Medicare reassignment Authorized official
• Ramon M. Tallaj, M.D.

  • Cardiovascular Disease Physician
  • New York, NY
  • NPI 1174623037
  Authorized official Same address or phone
• Our Lady of Mercy Ambulatory Care Center, Inc.

  • Podiatric Clinic/Center
  • Bronx, NY
  • NPI 1477704948
  NPD (past)
• Our Lady of Mercy Medical Center

  • Pediatric Emergency Medicine (Emergency Medicine) Physician
  • Bronx, NY
  • NPI 1669412847
  NPD (past)

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390780800000",
    "number": "1487753497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 CLARKSON CT.",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "07652",
            "telephone_number": "212-567-0550",
            "fax_number": "212-567-6574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "571 ACADEMY STREET",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10034",
            "telephone_number": "212-567-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALLAJ",
        "first_name": "RAMON",
        "middle_name": "MODESTO",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2014-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "NY",
            "license": "204704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1719671",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Talkspace Provider Network Mi, PC
• Talkspace Provider Network PA
• Talkspace Provider Network PA
• Talkspace Wa Psychiatry PC
• Alan Richard Tall, M.D.
• Yinabeth Tallaj
• Katia Aurora Tallarico, KATIA TALLARICO
• Veronica Tallegra, LMSW
• Marc Tallent, PHD
• Ruth Augusta Taller, LCSW

• Legal Medicine in New York, NY
• Providers in New York, NY by specialty
• Legal Medicine in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2014; 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.