Individual provider Active NPI

Tatyana R Gitlevich, MD

  • Neurology Physician
  • Hawthorne, NY
National Provider Identifier
1700886983
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
230302 Issued in NY
Practice address
19 Bradhurst Ave Ste 3850
Hawthorne, NY 10532-2199
Phone
(914) 345-1313
Fax
(913) 345-5004
NPI assigned
Jul 28, 2005
Last updated
Jan 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 230302 NY Primary
Epilepsy Physician 2084E0001X 230302 NY

Addresses

Primary practice location

19 Bradhurst Ave Ste 3850
Hawthorne, NY 10532-2199

Mailing address

19 Bradhurst Ave Ste 3100N
Hawthorne, NY 10532-2140
Phone (914) 909-9018

Other identifiers 1

IdentifierTypeStateIssuer
02578476MedicaidNY

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
I20041020000019 NY Practitioner - Neurology 8426019837 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

19 Bradhurst Ave
Suite 3850S
Hawthorne, NY 10532-2140
Phone (914) 345-1313

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
230302NYMDEpilepsy Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC CurrentSince Aug 20, 2018 Accepting new patients
Montefiore Medical Center Epilepsy CurrentSince Jul 3, 2015 Accepting new patients
Montefiore Medical Center CurrentSince Jul 3, 2015 Accepting new patients
Medalliance Medical Health Services Inc CurrentSince Jan 1, 2021 Accepting new patients
Westchester Medical Center Advanced Physician Services PC CurrentSince Feb 1, 2022 Accepting new patients
Westchester Medical Center Advanced Physician Services, PC Current Accepting new patients
Westchester Medical Center Past Accepting new patients
Premier Physicians and Surgeons, PLLC Neurology Past Accepting new patients
Montefiore North Ambulatory Care Center Inc Past Accepting new patients
Neurology Associates of Westchester PLLC Neurology PastSince Jan 1, 2001 Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

625 E Fordham Rd
Bronx, NY 10458
Phone (718) 409-3433

19 Bradhurst Ave
Ste 2800
Hawthorne, NY 10532
Phone (914) 345-1313

19 Bradhurst Ave
Ste 3100N
Hawthorne, NY 10532
Phone (914) 231-8373

19 Bradhurst Ave
Ste 3850S
Hawthorne, NY 10532
Phone (914) 345-1313

300 Community Dr
Manhasset, NY 11030

701 N Broadway
Sleepy Hollow, NY 10591
Phone (914) 366-3140

100 Woods Rd
Valhalla, NY 10595
Phone (914) 490-7000

95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961

95 Grasslands Rd
Bldg 4
Valhalla, NY 10595
Phone (914) 493-8186

244 Westchester Ave
Ste 310
White Plains, NY 10604
Phone (914) 948-3008

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/0e5efebe-b60c-458e-971a-ee39e08a2178/
  • Direct secure messaging: tatyanagitlevich@nslijmedgr.allscriptsdirect.net

Organizations & group practices 10

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1700886983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 BRADHURST AVE STE 3100N",
            "city": "HAWTHORNE",
            "state": "NY",
            "postal_code": "105322140",
            "telephone_number": "914-909-9018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 BRADHURST AVE STE 3850",
            "city": "HAWTHORNE",
            "state": "NY",
            "postal_code": "105322199",
            "telephone_number": "914-345-1313",
            "fax_number": "913-345-5004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GITLEVICH",
        "first_name": "TATYANA",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-28",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "230302",
            "primary": true
        },
        {
            "code": "2084E0001X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Epilepsy",
            "state": "NY",
            "license": "230302",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02578476",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hawthorne, NY

Sources for this page

Verify at the official NPI Registry.