Individual provider Active NPI

Tarif Choudhury, M.D.

  • Pediatric Critical Care Medicine Physician
  • New York, NY
National Provider Identifier
1497056790
Registry record updated Nov 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Critical Care Medicine PhysicianTaxonomy code 2080P0203X
License
276563 Issued in NY
Practice address
175 E 96TH St
Apt 20G
New York, NY 10128-6200
Phone
(646) 236-7847
NPI assigned
Nov 3, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology Physician 2080P0202X 276563 NY
Pediatrics Physician 208000000X 276563 NY
Pediatric Critical Care Medicine Physician 2080P0203X 276563 NY Primary

Addresses

Primary practice location

175 E 96TH St
Apt 20G
New York, NY 10128-6200

Mailing address

175 E 96TH St
Apt 20G
New York, NY 10128-6200
Phone (646) 236-7847

Other names 1

  • Dr. Tarif Choudhury Professional name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160826001191 NY Practitioner - Pediatric MedicinePractitioner - Critical Care (Intensivists) 8224294095 Reassigns benefits to 9 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
276563NYMDPediatric Critical Care Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York University Pediatrics CurrentSince Dec 16, 2024 Accepting new patients
North Shore-Lij Medical PC CurrentSince May 15, 2017 Accepting new patients
Nassau Health Care Corporation CurrentSince Nov 22, 2021 Accepting new patients
New York University CurrentSince Dec 16, 2024 Accepting new patients
Montefiore Medical Center CurrentSince Jun 16, 2016 Accepting new patients
Harlem Medical Associates PC CurrentSince Dec 8, 2018 Accepting new patients
Montefiore Medical Center Pediatrics CurrentSince Jun 16, 2016 Accepting new patients
Trustees of Columbia University in the City of New York Pediatrics CurrentSince Sep 20, 2017 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Sep 20, 2017 Accepting new patients
Nassau Health Care Corporation CurrentSince Nov 22, 2021 Accepting new patients
Nassau Health Care Corporation Current Accepting new patients
Trustees of Columbia University in the City of New York Pediatrics Current Accepting new patients
Samaritan Pediatric Services, P.C. Pediatrics CurrentSince Jan 1, 2023 Accepting new patients
The New York and Presbyterian Hospital Past Accepting new patients

Locations

655 Deer Park Ave
Babylon, NY 11702
Phone (631) 321-2100

700 Hicksville Rd
Ste 205
Bethpage, NY 11714
Phone (646) 501-3325

111 E 210th St
Bronx, NY 10467

2201 Hempstead Tpke
Rm 2448
East Meadow, NY 11554
Phone (516) 572-1234

2201 Hempstead Tpke
East Meadow, NY 11554
Phone (516) 486-6862

26901 76th Ave
New Hyde Park, NY 11040
Phone (718) 470-3000

630 W 168th St
New York, NY 10032
Phone (212) 305-1948

622 W 168th St
New York, NY 10032
Phone (212) 305-4931

161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559

506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000

100 E 77th St
New York, NY 10075
Phone (212) 434-2606

300 Community Dr
Plandome, NY 11030

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

2026 Richmond Rd
Staten Island, NY 10306
Phone (212) 305-2300

Networks

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

Interoperability endpoints

  • Direct secure messaging: tchoudhury673996@nychhc.direct-ci.com
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: tac9063@direct.nyp.org
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1288742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479859200000",
    "number": "1497056790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 E 96TH ST",
            "address_2": "APT 20G",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101286200",
            "telephone_number": "646-236-7847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 E 96TH ST",
            "address_2": "APT 20G",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101286200",
            "telephone_number": "646-236-7847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOUDHURY",
        "first_name": "TARIF",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-03",
        "last_updated": "2016-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "NY",
            "license": "276563",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "276563",
            "primary": false
        },
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "NY",
            "license": "276563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARIF",
            "last_name": "CHOUDHURY",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.