Gaylene Tannis, RPA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

005226 Issued in NY

Practice address

840 Lefferts Ave
Brooklyn, NY 11203-1301

Phone

(718) 493-2780

Fax

(718) 493-6166

NPI assigned

Apr 28, 2010

Last updated

Apr 28, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1272412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272412800000",
    "number": "1619294782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 LEFFERTS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112031301",
            "telephone_number": "718-493-2780",
            "fax_number": "718-493-6166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 LEFFERTS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112031301",
            "telephone_number": "718-493-2780",
            "fax_number": "718-493-6166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNIS",
        "first_name": "GAYLENE",
        "name_prefix": "Ms.",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-28",
        "last_updated": "2010-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "005226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maddison Tanner
• Rochelle Tanner
• Tristan Tanner, M.D.
• Miss Fahmina Tanni, DO
• Sagia T Tanni, DPM
• Rebecca Tannis, PA-C
• Lawrence Tannor, D.D.S.
• Susan Elizabeth Tansil, MD
• Irina Tanskaya, M.S., LMHC
• Alessandra E. Tantawi

• Physician Assistant in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.