NPIMap

Individual provider Active NPI

Bryan Ross Tischenkel, M.D.

  • Anesthesiology Physician
  • New York, NY
National Provider Identifier
1669748281
Registry record updated Sep 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
283117 Issued in NY
Practice address
622 W 168TH St
PH5-133 Stem
New York, NY 10032-3720
Phone
(516) 993-6583
NPI assigned
Mar 28, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 283117 NY Primary

Addresses

Primary practice location

622 W 168TH St
PH5-133 Stem
New York, NY 10032-3720

Mailing address

761 Middle Country Rd
Selden, NY 11784-3720
Phone (631) 736-4064

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161115000354 NY Practitioner - Anesthesiology 4385923341 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York Cardiovascular Anesthesiologists, P.C.Group PAC ID 5799676623, 135 clinicians
North Shore - Lij Anesthesiology, PCGroup PAC ID 1153602453, 990 clinicians
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

1000 N Village Ave
Rockville Center, NY 11570-1000
Phone (516) 627-6624

301 E Main St
Bay Shore, NY 11706-8408
Phone (914) 666-8866

530 1St Ave
New York, NY 10016-6402

550 1St Ave
New York, NY 10016-6402
Phone (212) 263-6037

Hospital & facility affiliations

  • NS/Lij HS Huntington Hospital Hospital, Huntington, NY, CCN 330045
  • NYU Langone Hospitals Hospital, New York, NY, CCN 330214
  • Mercy Medical Center Hospital, Rockville Centre, NY, CCN 330259

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New York University Anesthesiology CurrentSince Feb 1, 2024 Accepting new patients
Montefiore Medical Center CurrentSince Sep 13, 2016 Accepting new patients
Long Island Anesthesia Physicians LLP Anesthesiology CurrentSince Dec 7, 2019 Accepting new patients
New York Cardiovascular Anesthesiologists, P.C. Anesthesiology CurrentSince May 1, 2025 Accepting new patients
New York University Anesthesiology Current Accepting new patients
New York University CurrentSince Feb 1, 2024 Accepting new patients
North Shore - Lij Anesthesiology, PC Anesthesiology CurrentSince Feb 18, 2025 Accepting new patients
Jamaica Anesthesiologist, PC Anesthesiology CurrentSince Sep 26, 2025 Accepting new patients
Montefiore Medical Center Anesthesiology CurrentSince Sep 13, 2016 Accepting new patients

Locations

301 Montauk Hwy
Bay Shore, NY 11706
Phone (631) 630-3977

4295 Hempstead Tpke
Bethpage, NY 11714
Phone (516) 520-2250

111 E 210th St
Bronx, NY 10467

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

195 E Main St
Huntington, NY 11743
Phone (631) 385-8677

530 1st Ave
New York, NY 10016
Phone (212) 263-7216

622 W 168th St
Ph 5133
New York, NY 10032
Phone (212) 305-3226

200 Belle Terre Rd
Prt Jefferson, NY 11777
Phone (631) 474-6000

9785 Queens Blvd
Rego Park, NY 11374
Phone (631) 360-0266

8900 Van Wyck Expy
Richmond Hill, NY 11418
Phone (718) 206-6088

1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012

100 Port Washington Blvd
Roslyn, NY 11576
Phone (516) 562-6385

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Networks

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

Organizations & group practices 10

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.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1332892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505088000000",
    "number": "1669748281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "761 MIDDLE COUNTRY RD",
            "city": "SELDEN",
            "state": "NY",
            "postal_code": "117843720",
            "telephone_number": "631-736-4064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 W 168TH ST",
            "address_2": "PH5-133 STEM",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323720",
            "telephone_number": "516-993-6583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TISCHENKEL",
        "first_name": "BRYAN",
        "middle_name": "ROSS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-28",
        "last_updated": "2017-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "283117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.