Seagirt Medical Group

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

221582 Issued in NY

Legal business name

SEAGIRT MEDICAL GROUP

Practice address

2004 Seagirt Blvd
Far Rockaway, NY 11691-2802

Phone

(718) 868-8668

Fax

(718) 868-8611

NPI assigned

Feb 5, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Michael Tavdy, M.D.

Title

President

Phone

(718) 868-8668

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1233792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233792000000",
    "number": "1689813263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 SEAGIRT BLVD",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116912802",
            "telephone_number": "718-868-8668",
            "fax_number": "718-868-8611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 SEAGIRT BLVD",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116912802",
            "telephone_number": "718-868-8668",
            "fax_number": "718-868-8611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEAGIRT MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-05",
        "last_updated": "2009-02-05",
        "status": "A",
        "authorized_official_last_name": "TAVDY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-868-8668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "221582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Anne Schwebel
• Alexandra Schwed, M.A. SLP
• Janice Scobie, MD
• Angelique Scott, MSW,CASAC
• Sea Shore Radiology, P.C.
• Seaview Manor
• Daniella Segal
• Maren Claire Seiberth, MD
• Aman Kaur Sekhon, D.O.
• Barbara Selevan, MS,CCC/SLP

• Internal Medicine Physician in Far Rockaway, NY
• Providers in Far Rockaway, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2009; 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.