Active NPI
Tanuj P Palvia, M.D.
- Pain Medicine (Anesthesiology) Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 263710
- Practice address
- 281 Broadway
2ND Floor
New York, NY 10007-1831 - Phone
- (646) 596-7386
- Fax
- (646) 360-2739
- NPI assigned
- Aug 18, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 25MA09528400 | NJ | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 25MA09528400 | NJ | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 263710 | NY | Primary |
Addresses
Primary practice location
281 Broadway
2ND Floor
New York, NY 10007-1831
Mailing address
281 Broadway
2ND Floor
New York, NY 10007-1831
Phone (646) 596-7386
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0452025 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of North Carolina at Chapel Hill School of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
409 Fulton St
Brooklyn, NY 11201-5103
Phone (718) 260-1000
550 Newark Ave
Jersey City, NJ 07306-1326
Phone (201) 795-0205
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA09528400 | NJ | MD | Pain Medicine (Anesthesiology) Physician |
| 263710 | NY | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sedation Vacation Perioperative Medicine PLLC | Current | Accepting new patients | |
| Hudson Spine and Pain Medicine, PC | Current | Accepting new patients | |
| Physio-Logic Chiropractic & Physical Therapy PLLC | Current | Accepting new patients |
Locations
1396 Myrtle Ave
Brooklyn, NY 11237
Phone (718) 878-4313
409 Fulton St
#2
Brooklyn, NY 11201
Phone (718) 260-1000
281 Broadway
Fl 2
New York, NY 10007
Phone (646) 596-7386
10512 101st Ave
Ozone Park, NY 11416
Phone (718) 847-3600
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HFJHDD/Endpoint/HFJHDD
- tpp9001@direct.nyp.org
Organizations & group practices 4
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.
-
- Pain Clinic/Center
- New York, NY
- NPI 1639418858
-
- Specialist
- Valley Stream, NY
- NPI 1891235404
-
- Chiropractor
- Brooklyn, NY
- NPI 1225262785
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462320000000",
"number": "1679889315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "281 BROADWAY",
"address_2": "2ND FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100071831",
"telephone_number": "646-596-7386",
"fax_number": "646-360-2739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "281 BROADWAY",
"address_2": "2ND FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100071831",
"telephone_number": "646-596-7386",
"fax_number": "646-360-2739"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALVIA",
"first_name": "TANUJ",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-08-18",
"last_updated": "2016-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NJ",
"license": "25MA09528400",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "NJ",
"license": "25MA09528400",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "NY",
"license": "263710",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0452025",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2016; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.