Individual provider Active NPI

Natacha M Tamdji, DO

  • Family Medicine Physician
  • Hewlett, NY
National Provider Identifier
1700178969
Registry record updated Oct 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
256370-1 Issued in NY
Practice address
1436 Broadway
Hewlett, NY 11557-1405
Phone
(929) 210-6550
Fax
(929) 210-6551
NPI assigned
May 6, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 256370-1 NY Primary

Addresses

Primary practice location

1436 Broadway
Hewlett, NY 11557-1405

Mailing address

1436 Broadway
Hewlett, NY 11557-1405
Phone (929) 210-6550

Other identifiers 1

IdentifierTypeStateIssuer
00695941MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20120308000162 NY Practitioner - Family Practice 2365601507 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
256370-1NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai CurrentSince Sep 1, 2015 Accepting new patients
North Shore Medical Group of the Mount Sinai School of Medicine Family Medicine Current Accepting new patients
Westchester Medical Group, P.C. Past Accepting new patients

Locations

1436 Broadway
Hewlett, NY 11557
Phone (516) 563-7200

325 Park Ave
Huntington, NY 11743
Phone (631) 351-3700

9901 Queens Blvd
Rego Park, NY 11374
Phone (718) 268-4500

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1304640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413244800000",
    "number": "1700178969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1436 BROADWAY",
            "city": "HEWLETT",
            "state": "NY",
            "postal_code": "115571405",
            "telephone_number": "929-210-6550",
            "fax_number": "929-210-6551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1436 BROADWAY",
            "city": "HEWLETT",
            "state": "NY",
            "postal_code": "115571405",
            "telephone_number": "929-210-6550",
            "fax_number": "929-210-6551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMDJI",
        "first_name": "NATACHA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-06",
        "last_updated": "2014-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "256370-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00695941",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hewlett, NY

Sources for this page

Verify at the official NPI Registry.