Active NPI
Asiya Sarasa Tschannerl, MD
- Family Medicine Physician
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 262524
- Practice address
- 3544 Jerome Avenue
Residency Program in Social Medicine
Bronx, NY 10467-2401 - Phone
- (347) 820-8416
- NPI assigned
- Sep 8, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 262524 | NY | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | 262524 | NY |
Addresses
Primary practice location
3544 Jerome Avenue
Residency Program in Social Medicine
Bronx, NY 10467-2401
Mailing address
3450 Wayne Ave Apt 25D
Bronx, NY 10467-0830
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
90 S Bedford Rd
Mount Kisco, NY 10549-3412
Phone (914) 241-1050
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 262524 | NY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Under 21 | Current | Accepting new patients | |
| Optum Medical Care, P.C. | Current | Accepting new patients | |
| Montefiore Medical Center | Current | Accepting new patients | |
| Optum Medical Care, P.C. | Current | Accepting new patients | |
| Montefiore Medical Center | Current | Accepting new patients | |
| Medalliance Medical Health Services Inc | Current | Accepting new patients | |
| Mount Kisco Medical Group | Past | Accepting new patients |
Locations
2322 30th Ave
Astoria, NY 11102
Phone (718) 267-2763
537 N State Rd
Briarcliff Manor, NY 10510
Phone (914) 242-2930
625 E Fordham Rd
Bronx, NY 10458
Phone (718) 409-3433
3544 Jerome Ave
Bronx, NY 10467
Phone (718) 920-2007
111 E 210th St
Bronx, NY 10467
90 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-1050
460 W 41st St
New York, NY 10036
Phone (212) 613-0300
Philadelphia, PA 19195
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
Interoperability endpoints
- atschannerl219146@northwell.direct-ci.com
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Mount Kisco, NY
- NPI 1982643003
-
- Clinic/Center
- Bronx, NY
- NPI 1558356741
-
- Anesthesiology Physician
- Bronx, NY
- NPI 1063525152
-
- Clinic/Center
- New York, NY
- NPI 1053588988
-
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1194183715
-
- Durable Medical Equipment & Medical Supplies
- New Hyde Park, NY
- NPI 1053190595
-
- Hematology (Internal Medicine) Physician
- Fishkill, NY
- NPI 1952356362
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326844800000",
"number": "1730460320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3450 WAYNE AVE APT 25D",
"city": "BRONX",
"state": "NY",
"postal_code": "104670830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3544 JEROME AVENUE",
"address_2": "RESIDENCY PROGRAM IN SOCIAL MEDICINE",
"city": "BRONX",
"state": "NY",
"postal_code": "104672401",
"telephone_number": "347-820-8416"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TSCHANNERL",
"first_name": "ASIYA",
"middle_name": "SARASA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-08",
"last_updated": "2012-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "262524",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NY",
"license": "262524",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2012; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.