Organization Active NPI

Tatiana a Pavlova-Greenfield Physician PC

  • Family Medicine Physician
  • New York, NY
National Provider Identifier
1740560713
Registry record updated Aug 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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

Updated by the provider on Aug 23, 2011

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.