Tatyana Grinchenko, DO

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

MB082529 Issued in NJ

Practice address

506 Hamburg Tpke Ste 201
Wayne, NJ 07470-2069

Phone

(201) 282-8356

Fax

(888) 502-1596

NPI assigned

Feb 15, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

RheumatologyAlso: Internal Medicine

Education

New York College of Osteo Medicine of New York Institute of Technology, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Joseph'S University Medical Center Inc Hospital, Paterson, NJ, CCN 310019
• Chilton Medical Center Hospital, Pompton Plains, NJ, CCN 310017
• Englewood Hospital and Medical Center Hospital, Englewood, NJ, CCN 310045

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Arthritis Alliance P.C.

  • Rheumatology Physician
  • Wayne, NJ
  • NPI 1568772523
  Medicare reassignment NPD Authorized official
• Michael P Lewko MD LLC

  • Rheumatology Physician
  • Clifton, NJ
  • NPI 1154333979
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ahs Hospital Corp.

  • General Acute Care Hospital
  • Pompton Plains, NJ
  • NPI 1811994809
  Care Compare affiliation
• Englewood Hospital and Medical Center

  • General Acute Care Hospital
  • Englewood, NJ
  • NPI 1083612881
  Care Compare affiliation
• St Josephs University Medical Center Inc.

  • General Acute Care Hospital
  • Paterson, NJ
  • NPI 1669462420
  Care Compare affiliation

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478217600000",
    "number": "1770627713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "363 STURBRIDGE RD",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074811562",
            "telephone_number": "917-449-6890",
            "fax_number": "888-502-1596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 HAMBURG TPKE STE 201",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702069",
            "telephone_number": "201-282-8356",
            "fax_number": "888-502-1596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRINCHENKO",
        "first_name": "TATYANA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2016-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NY",
            "license": "235641",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NJ",
            "license": "MB082529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0149781",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gregory M Scott, PT, LLC
• Kyle Joseph Grehan
• Joan Marie Greiner, O.T.R./L
• William F Grella, MD
• Kyle Greve
• Nicole Groat, AU.D.
• Marina Groisman, L.AC
• Gary Richard Gromack, MED CCC A
• Susan A. Grossbard, PSY.D.
• Tomasz Adam Gruczynski, M.D.

• Rheumatology Physician in Wayne, NJ
• Providers in Wayne, NJ by specialty
• Rheumatology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2016; 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.

Verify at the official NPI Registry.