NPIMap

Individual provider Active NPI

Tagenarayan Niwaz

  • Cardiovascular Disease Physician
  • Huntington Station, NY
National Provider Identifier
1497046833
Registry record updated Mar 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
287163 Issued in NY
Practice address
180 E Pulaski Rd
Huntington Station, NY 11746-1915
Phone
(631) 425-2121
NPI assigned
Apr 19, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 287163 NY Primary

Addresses

Primary practice location

180 E Pulaski Rd
Huntington Station, NY 11746-1915

Mailing address

180 E Pulaski Rd
Huntington Station, NY 11746-1915
Phone (631) 425-2121

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tniwaz284830@nyumc.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170606001783 NY Practitioner - Cardiovascular Disease (Cardiology) 5395012736 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
New York College of Osteo Medicine of New York Institute of Technology, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700

180 E Pulaski Rd
Huntington Station, NY 11746-1915
Phone (516) 747-8900

270 Park Ave
Suite 1
Huntington, NY 11743-2787
Phone (631) 351-2219

Hospital & facility affiliations

  • NS/Lij HS Huntington Hospital Hospital, Huntington, NY, CCN 330045
  • NYU Langone Hospitals Hospital, New York, NY, CCN 330214
  • North Shore University Hospital Hospital, Manhasset, NY, CCN 330106

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

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

Practice roles (7 of 11)

OrganizationSpecialtyStatusNew patients
New York University Cardiovascular Disease CurrentSince Mar 1, 2019 Accepting new patients
New York University Cardiovascular Disease CurrentSince Mar 1, 2019 Accepting new patients
Suffolk Cardiac Care PLLC Cardiovascular Disease CurrentSince Jul 1, 2017 Accepting new patients
North Shore-Lij Medical PC Cardiovascular Disease CurrentSince Oct 1, 2019 Accepting new patients
Long Island Community Hospital at NYU Langone Health CurrentSince Jul 16, 2018 Accepting new patients
Brookhaven Memorial Hospital Medical Center, Inc. CurrentSince Jul 16, 2018 Accepting new patients
Brookhaven Memorial Hospital Medical Center, Inc. Current Accepting new patients

Locations

285 Sills Rd
Bldg 12C
East Patchogue, NY 11772
Phone (631) 627-8700

270 Park Ave
Fl 1
Huntington, NY 11743
Phone (631) 351-2219

180 Pulaski Rd
Huntington Station, NY 11746
Phone (631) 425-2121

101 Hospital Rd
Patchogue, NY 11772
Phone (631) 654-7100

73 S Ocean Ave
Patchogue, NY 11772
Phone (631) 207-2100

300 Community Dr
Plandome, NY 11030

Networks

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

Interoperability endpoints

  • Direct secure messaging: tniwaz284830@nyumc.direct-ci.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/GHJIBA

Organizations & group practices 7

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1303171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1497046833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 E PULASKI RD",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117461915",
            "telephone_number": "631-425-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 E PULASKI RD",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117461915",
            "telephone_number": "631-425-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIWAZ",
        "first_name": "TAGENARAYAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-19",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "287163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tniwaz284830@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "180 E Pulaski Rd",
            "city": "Huntington Station",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117461915",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntington Station, NY

Sources for this page

Verify at the official NPI Registry.