Tamara Sibalic-Mandic Physician Internal Medicine PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

TAMARA SIBALIC-MANDIC PHYSICIAN INTERNAL MEDICINE PC

Practice address

88 Old Town Road
Staten Island, NY 10304

Phone

(732) 306-7899

Fax

(732) 654-8856

NPI assigned

May 20, 2025

Organization subpart

No

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

Authorized official

Name

Tamara Sibalic-Mandic, MDNPI 1285635565

Title

MD

Phone

(732) 306-7899

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tamara Sibalic-Mandic, MD

  • Internal Medicine Physician
  • Staten Island, NY
  • NPI 1285635565
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1747699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747699200000",
    "number": "1720870496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 LEE LEE LANE",
            "city": "LAURENCE HARBOR",
            "state": "NJ",
            "postal_code": "08879",
            "telephone_number": "732-306-7899",
            "fax_number": "732-654-8856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 OLD TOWN ROAD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10304",
            "telephone_number": "732-306-7899",
            "fax_number": "732-654-8856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMARA SIBALIC-MANDIC PHYSICIAN INTERNAL MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-20",
        "last_updated": "2025-05-20",
        "status": "A",
        "authorized_official_last_name": "SIBALIC-MANDIC",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "732-306-7899",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03405658",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ida Tam, ED.D, LMSW
• Margaret Chifong Tam, NURSE PRACTITIONER
• Ryan Tam
• Wai-Kwok Tam, MD
• Tamara Anna Marie Saukin MD PC
• Jacqueline Tambi-King, L.P.N.
• Larena Tambone, RN
• Nicholas Tamborra, LMHC
• Frank Vincent Tamburrino, MD
• Noreen Tan-Chu, M. D.

• Internal Medicine Physician in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.