Active NPI
Tawana Hill, D.O.
- Family Medicine Physician
- East Patchogue, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2605441
- Practice address
- 100 Hospital Rd Ste 203
East Patchogue, NY 11772-8814 - Phone
- (631) 475-6900
- NPI assigned
- Jul 1, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2605441 | NY | Primary |
Addresses
Primary practice location
100 Hospital Rd Ste 203
East Patchogue, NY 11772-8814
Mailing address
100 Hospital Rd Ste 203
East Patchogue, NY 11772-8814
Phone (631) 476-6900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8887346433 | Other | NY | PICOS |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2605441 | NY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ahrc Health Care Inc | Current | Accepting new patients | |
| Ahrc Healthcare Inc. | Current | Accepting new patients | |
| Care for the Homeless | Current | Accepting new patients | |
| Premier Healthcare, Inc. | Current | Accepting new patients | |
| Premier Healthcare, Inc. | Current | Accepting new patients | |
| Care for the Homeless | Current | Accepting new patients | |
| Care for the Homeless | Current | Accepting new patients |
Locations
21111 Northern Blvd
Bayside, NY 11361
Phone (212) 563-7474
3060 E Tremont Ave
Bronx, NY 10461
Phone (718) 239-1790
30 E 33rd St
Fl 5
New York, NY 10016
Phone (212) 366-4459
460 W 34th St
Fl 9
New York, NY 10001
Phone (212) 273-6515
83 Maiden Ln
Fl 6
New York, NY 10038
Phone (212) 780-2378
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
Interoperability endpoints
- tawana.hill@cfth.eclinicaldirectplus.com
- thill88294@direct-chsli.net
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.
-
- Clinic/Center
- New York, NY
- NPI 1710086590
-
- Federally Qualified Health Center (FQHC)
- Bronx, NY
- NPI 1013154657
-
- Developmental Disabilities Clinic/Center
- New York, NY
- NPI 1760436190
-
- Federally Qualified Health Center (FQHC)
- Bronx, NY
- NPI 1942617345
-
- Federally Qualified Health Center (FQHC)
- Brooklyn, NY
- NPI 1245886753
-
- Federally Qualified Health Center (FQHC)
- Bronx, NY
- NPI 1952647430
-
- Developmental Disabilities Clinic/Center
- New York, NY
- NPI 1831330182
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352678400000",
"number": "1750519476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 HOSPITAL RD STE 203",
"city": "EAST PATCHOGUE",
"state": "NY",
"postal_code": "117728814",
"telephone_number": "631-476-6900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 HOSPITAL RD STE 203",
"city": "EAST PATCHOGUE",
"state": "NY",
"postal_code": "117728814",
"telephone_number": "631-475-6900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILL",
"first_name": "TAWANA",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-01",
"last_updated": "2012-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "2605441",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PICOS",
"identifier": "8887346433",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in East Patchogue, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.