Active NPI
Ronald J Tatelbaum, MD FACC
- Cardiovascular Disease Physician
- Poughkeepsie, NY
National Provider Identifier
1780657619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 137384
- Practice address
- 1 Columbia St
Suite 200
Poughkeepsie, NY 12601-3923 - Phone
- (845) 473-1188
- Fax
- (845) 473-0896
- NPI assigned
- Feb 10, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 137384 | NY | Primary |
Addresses
Primary practice location
1 Columbia St
Suite 200
Poughkeepsie, NY 12601-3923
Mailing address
1 Columbia St
Suite 200
Poughkeepsie, NY 12601-3923
Phone (845) 473-1188
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00524378 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 137384 | NY | MD | Cardiovascular Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215648000000",
"number": "1780657619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 COLUMBIA ST",
"address_2": "SUITE 200",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126013923",
"telephone_number": "845-473-1188",
"fax_number": "845-473-0896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 COLUMBIA ST",
"address_2": "SUITE 200",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126013923",
"telephone_number": "845-473-1188",
"fax_number": "845-473-0896"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TATELBAUM",
"first_name": "RONALD",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD FACC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-10",
"last_updated": "2008-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NY",
"license": "137384",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00524378",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Poughkeepsie, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.