Active NPI
Tatiana a Pavlova-Greenfield Physician PC
- Family Medicine Physician
- New York, NY
National Provider Identifier
1740560713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- TATIANA A PAVLOVA-GREENFIELD PHYSICIAN PC
- Practice address
- 601 W 177TH St
New York, NY 10033-7152 - Phone
- (212) 927-0333
- Fax
- (212) 927-0335
- NPI assigned
- Aug 23, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tatiana A Pavlova, MD
- Title
- Owner
- Phone
- (212) 927-0333
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
601 W 177TH St
New York, NY 10033-7152
Mailing address
521 5TH Ave
Ste 1703
New York, NY 10175-0003
Phone (212) 927-0333
National Provider Directory
National Provider DirectoryLocations
521 5th Ave
Ste 1703
New York, NY 10175
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314057600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1314057600000",
"number": "1740560713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "521 5TH AVE",
"address_2": "STE 1703",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101750003",
"telephone_number": "212-927-0333",
"fax_number": "212-927-0335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 W 177TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100337152",
"telephone_number": "212-927-0333",
"fax_number": "212-927-0335"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TATIANA A PAVLOVA-GREENFIELD PHYSICIAN PC",
"organizational_subpart": "NO",
"enumeration_date": "2011-08-23",
"last_updated": "2011-08-23",
"status": "A",
"authorized_official_last_name": "PAVLOVA",
"authorized_official_first_name": "TATIANA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "212-927-0333",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.