Active NPI
Tatyana Sartan, M.D.
- Pediatrics Physician
- Irvington, NY
National Provider Identifier
1588659783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 221835
- Practice address
- 100 N Broadway
Irvington, NY 10533-1254 - Phone
- (914) 591-7300
- NPI assigned
- Sep 14, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 221835 | NY | Primary |
Addresses
Primary practice location
100 N Broadway
Irvington, NY 10533-1254
Mailing address
3411 Irwin Ave
Apt 19-D
Bronx, NY 10463-3732
Phone (718) 432-1039
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02198745 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 221835 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CMC Radiological Services PC | Past | Accepting new patients | |
| CMC Radiological Services PC | Past | Accepting new patients | |
| Evergreen Emergency Solutions, PC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
dba St Vincents Catholic Medical Center
- Diagnostic Radiology Physician
- Elmhurst, NY
- NPI 1093851990
-
dba St Vincents Catholic Medical Center
- Diagnostic Radiology Physician
- Jamaica, NY
- NPI 1285780502
-
- Emergency Medicine Physician
- Montclair, NJ
- NPI 1558349274
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1588659783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3411 IRWIN AVE",
"address_2": "APT 19-D",
"city": "BRONX",
"state": "NY",
"postal_code": "104633732",
"telephone_number": "718-432-1039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 N BROADWAY",
"city": "IRVINGTON",
"state": "NY",
"postal_code": "105331254",
"telephone_number": "914-591-7300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SARTAN",
"first_name": "TATYANA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-09-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "221835",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02198745",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Irvington, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.