Organization Active NPI

Tanners Medical PC

  • Specialist
  • Spring Valley, NY
National Provider Identifier
1700298692
Registry record updated May 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
241004 Issued in NY
Legal business name
TANNERS MEDICAL PC
Practice address
3101 Parkview Dr
Spring Valley, NY 10977-4979
Phone
(845) 538-7869
NPI assigned
May 27, 2014
Last updated
May 27, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2014

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

Authorized official

Name
Dr. Ahron Milworm, M.D.
Title
President
Phone
(845) 538-7869

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 241004 NY Primary

Addresses

Primary practice location

3101 Parkview Dr
Spring Valley, NY 10977-4979

Mailing address

3101 Parkview Dr
Spring Valley, NY 10977-4979
Phone (845) 538-7869

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1401148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401148800000",
    "number": "1700298692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 PARKVIEW DR",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109774979",
            "telephone_number": "845-538-7869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 PARKVIEW DR",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109774979",
            "telephone_number": "845-538-7869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANNERS MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-27",
        "last_updated": "2014-05-27",
        "status": "A",
        "authorized_official_last_name": "MILWORM",
        "authorized_official_first_name": "AHRON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-538-7869",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "241004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Valley, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2014; 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.