Individual provider Active NPI

Tanuj P Palvia, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • New York, NY
National Provider Identifier
1679889315
Registry record updated May 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
263710 Issued in NY
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

Updated by the provider on May 4, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0452025MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20141007002565 NJ Practitioner - Pain ManagementPractitioner - Anesthesiology 5193945509 Reassigns benefits to 1 organization
I20160527001555 NY Practitioner - AnesthesiologyPractitioner - Pain Management 5193945509 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
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

LicenseStateTypeSpecialty
25MA09528400NJMDPain Medicine (Anesthesiology) Physician
263710NYMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sedation Vacation Perioperative Medicine PLLC CurrentSince Jan 4, 2022 Accepting new patients
Hudson Spine and Pain Medicine, PC CurrentSince Mar 21, 2016 Accepting new patients
Physio-Logic Chiropractic & Physical Therapy PLLC CurrentSince Dec 6, 2016 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

  • FHIR API: https://fhir4.healow.com/fhir/r4/HFJHDD/Endpoint/HFJHDD
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.