Active NPI
Tania Elliott, M.D.
- Allergy & Immunology Physician
- Bronx, NY
National Provider Identifier
1598924243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 254590
- Practice address
- 1200 Waters PL
Suite 110
Bronx, NY 10461-2728 - Phone
- (718) 863-4366
- NPI assigned
- Jun 7, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 254590 | NY | |
| Allergy & Immunology Physician | 207K00000X | 254590 | NY | Primary |
Addresses
Primary practice location
1200 Waters PL
Suite 110
Bronx, NY 10461-2728
Mailing address
560 White Plains Rd
Suite 500
Tarrytown, NY 10591-5113
Phone (646) 582-7024
Other names 1
- Dr. Tania Mucci
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 |
|---|---|---|---|
| 254590 | NY | MD | Allergy & Immunology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doctor on Demand Professionals P C | Past | Accepting new patients | |
| Doctor on Demand Professionals of New Jersey, P.C. | Past | Accepting new patients |
Interoperability endpoints
- telliott675159@nychhc.direct-ci.com
Organizations & group practices 2
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.
-
- Family Medicine Physician
- San Francisco, CA
- NPI 1689082950
-
- Family Medicine Physician
- San Francisco, CA
- NPI 1174931448
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1419206400000",
"number": "1598924243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "560 WHITE PLAINS RD",
"address_2": "SUITE 500",
"city": "TARRYTOWN",
"state": "NY",
"postal_code": "105915113",
"telephone_number": "646-582-7024",
"fax_number": "646-224-8524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 WATERS PL",
"address_2": "SUITE 110",
"city": "BRONX",
"state": "NY",
"postal_code": "104612728",
"telephone_number": "718-863-4366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLIOTT",
"first_name": "TANIA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-07",
"last_updated": "2014-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "254590",
"primary": false
},
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "NY",
"license": "254590",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TANIA",
"last_name": "MUCCI",
"prefix": "DR.",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.