James G Tifft, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

133780 Issued in NY

Practice address

260 Township Blvd
Ste 20
Camillus, NY 13031-1674

Phone

(315) 708-0190

Fax

(315) 488-3284

NPI assigned

Jul 26, 2006

Last updated

Jun 17, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466121600000",
    "number": "1720001043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 TOWNSHIP BLVD",
            "address_2": "STE 20",
            "city": "CAMILLUS",
            "state": "NY",
            "postal_code": "130311674",
            "telephone_number": "315-708-0190",
            "fax_number": "315-488-3284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 TOWNSHIP BLVD",
            "address_2": "STE 20",
            "city": "CAMILLUS",
            "state": "NY",
            "postal_code": "130311674",
            "telephone_number": "315-708-0190",
            "fax_number": "315-488-3284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIFFT",
        "first_name": "JAMES",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2016-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "133780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00482288",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Gastroenterology Physician in Camillus, NY
• Providers in Camillus, NY by specialty
• Gastroenterology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.