Michael Tadros, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

267332 Issued in NY

Practice address

4870 Hylan Blvd Ste 2
Staten Island, NY 10312-6322

Phone

(718) 207-6197

NPI assigned

Mar 4, 2011

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

Medicare fee-for-service enrollment

Enrolled in NY, NJ2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Island Comprehensive Care Inc.

  • Internal Medicine Physician
  • Wading River, NY
  • NPI 1285104257
  Medicare reassignment NPD
• Hassan Medical Pain Relief and Wellness Center

  • Physical Medicine & Rehabilitation Physician
  • Old Bridge, NJ
  • NPI 1861045791
  Medicare reassignment
• Trinitas Physicians Practice, LLC

  • Internal Medicine Physician
  • Elizabeth, NJ
  • NPI 1205189941
  NPD

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

{
    "created_epoch": "1299196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680480000000",
    "number": "1528366267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 STRAWBERRY LN",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103126411",
            "telephone_number": "718-207-6197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4870 HYLAN BLVD STE 2",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103126322",
            "telephone_number": "718-207-6197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TADROS",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-04",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "267332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taramarie Taddeo, MS CCC-SLP, TSHH
• Kimberly Michelle Tadeo Martinez, LPN
• Madonna Tadros, PHARMD
• Mary Adly Zakher Said Tadros
• Michael Tadros
• Michaela D Tadros, MA-CF SLP
• Dyan Taerstein
• Johnny J. Tafa, MD
• Maryam Tafa
• Adelina Taganovic, M.S. SLP-CFY

• Internal Medicine Physician in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; 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.