Organization Active NPI

Tatiana Pavlova Physician PLLC

  • Family Medicine Physician
  • New York, NY
National Provider Identifier
1487943312
Registry record updated Mar 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
TATIANA PAVLOVA PHYSICIAN PLLC
Practice address
601 W 177TH St
New York, NY 10033-7152
Phone
(212) 927-0333
Fax
(212) 927-0335
NPI assigned
Mar 31, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2011

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

Authorized official

Name
Tatiana A Pavlova, M.D
Title
Owner
Phone
(202) 927-0333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

601 W 177TH St
New York, NY 10033-7152

Mailing address

601 W 177TH St
New York, NY 10033-7152
Phone (212) 927-0333

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1301529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301529600000",
    "number": "1487943312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 W 177TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100337152",
            "telephone_number": "212-927-0333",
            "fax_number": "212-927-0335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W 177TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100337152",
            "telephone_number": "212-927-0333",
            "fax_number": "212-927-0335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TATIANA PAVLOVA PHYSICIAN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-31",
        "last_updated": "2011-03-31",
        "status": "A",
        "authorized_official_last_name": "PAVLOVA",
        "authorized_official_first_name": "TATIANA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-927-0333",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2011; 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.