Tiffany Medina, CRPA

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

5423 Issued in NY

Practice address

172 Liberty St
Newburgh, NY 12550-4912

Phone

(845) 554-2458

NPI assigned

Oct 16, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1729036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1700606548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 LIBERTY ST",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125504912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 LIBERTY ST",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125504912",
            "telephone_number": "845-554-2458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "TIFFANY",
        "credential": "CRPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-16",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NY",
            "license": "5423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda McNeill
• Janeesa Rachelle McZorn, RN
• Meals on Wheels of Greater Newburgh, Inc.
• Alexandria Medina, DC
• Danielle Medina
• Yoel Rubin Megadesh, DDS
• Andy Mejia
• Elci Mejia
• Vivian S Mejias, MD
• David Melchionne, COTA/L

• Peer Specialist in Newburgh, NY
• Providers in Newburgh, NY by specialty
• Peer Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; 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.