Organization Active NPI

Tse Medical PLLC

  • Obstetrics & Gynecology Physician
  • Brooklyn, NY
National Provider Identifier
1780298281
Registry record updated Sep 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
TSE MEDICAL PLLC
Practice address
846 55TH Street, 1FL
Brooklyn, NY 11220-1122
Phone
(718) 436-8060
Fax
(718) 436-8070
NPI assigned
Sep 2, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2020

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

Authorized official

Name
Lim Tse, MDNPI 1790782233
Title
Owner
Phone
(718) 436-8060

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

846 55TH Street, 1FL
Brooklyn, NY 11220-1122

Mailing address

846 55TH Street, 1St Floor
Brooklyn, NY 11220
Phone (718) 436-8060

Other practice location 1

2567 East 14th Street, 1FL
Brooklyn, NY 11235
Phone (718) 676-6200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201029000813 NY Part B Supplier - Clinic/Group Practice 7517377732 Receives reassigned benefits from 2 practitioners
Practice locations: Brooklyn, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2020109Tse Medical PLLC846 55TH Street, 1St Floor, Brooklyn, NY 11220Certificate of waiverFeb 13, 2027
33D2020110Tse Medical PLLC2567 East 14TH Street - 1St Floor, Brooklyn, NY 11235Certificate of waiverFeb 13, 2027

National Provider Directory

National Provider Directory

Locations

2567 E 14th St
Ste 1
Brooklyn, NY 11235
Phone (718) 676-6200

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1599004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599004800000",
    "number": "1780298281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "846 55TH STREET, 1ST FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11220",
            "telephone_number": "718-436-8060",
            "fax_number": "718-436-8070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "846 55TH STREET, 1FL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112201122",
            "telephone_number": "718-436-8060",
            "fax_number": "718-436-8070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2567 East 14th Street, 1FL",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "11235",
            "country_code": "US",
            "telephone_number": "718-676-6200",
            "fax_number": "718-676-6199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TSE MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-02",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A",
        "authorized_official_last_name": "TSE",
        "authorized_official_first_name": "LIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-436-8060",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.