Organization Active NPI

Tamara Anna Marie Saukin MD PC

  • Family Medicine Physician
  • Staten Island, NY
National Provider Identifier
1790163996
Registry record updated May 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
241180 Issued in NY
Legal business name
TAMARA ANNA MARIE SAUKIN MD PC
Practice address
1920 Richmond Rd
Staten Island, NY 10306-2551
Phone
(718) 355-5557
Fax
(718) 351-5559
NPI assigned
May 8, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2015

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

Authorized official

Name
Tamara Saukin, MD
Title
President
Phone
(718) 355-5557

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 241180 NY Primary

Addresses

Primary practice location

1920 Richmond Rd
Staten Island, NY 10306-2551

Mailing address

1920 Richmond Rd
Staten Island, NY 10306-2551
Phone (718) 355-5557

National Provider Directory

National Provider Directory

Locations

1920 Richmond Rd
Staten Island, NY 10306
Phone (718) 351-5557

NPI Registry JSON

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

{
    "created_epoch": "1431043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431043200000",
    "number": "1790163996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 RICHMOND RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103062551",
            "telephone_number": "718-355-5557",
            "fax_number": "718-351-5559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 RICHMOND RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103062551",
            "telephone_number": "718-355-5557",
            "fax_number": "718-351-5559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMARA ANNA MARIE SAUKIN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-08",
        "last_updated": "2015-05-08",
        "status": "A",
        "authorized_official_last_name": "SAUKIN",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-355-5557",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "241180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2015; 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.