Tilden Medical Group PLLC

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

184270 Issued in NY

Legal business name

TILDEN MEDICAL GROUP PLLC

Practice address

381 Rockaway Ave
Brooklyn, NY 11212-5635

Phone

(718) 522-3400

Fax

(929) 430-0511

NPI assigned

Aug 6, 2018

Organization subpart

No

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

Authorized official

Name

Harry Crevecoeur, MDNPI 1720018674

Title

Owner

Phone

(646) 373-9624

Specialties & licenses 1

Addresses

Practitioners 1

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

• Harry Florent Crevecoeur, MD

  • Infectious Disease Physician
  • Brooklyn, NY
  • NPI 1720018674
  NPD Authorized official

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

{
    "created_epoch": "1533513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533513600000",
    "number": "1790263259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "381 ROCKAWAY AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112125635",
            "telephone_number": "718-522-3400",
            "fax_number": "929-430-0511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "381 ROCKAWAY AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112125635",
            "telephone_number": "718-522-3400",
            "fax_number": "929-430-0511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TILDEN MEDICAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-06",
        "last_updated": "2018-08-06",
        "status": "A",
        "authorized_official_last_name": "CREVECOEUR",
        "authorized_official_first_name": "HARRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-373-9624",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NY",
            "license": "184270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anastasia Tikhonova
• Esther Tikotzky
• Kedar Mohan Tilak, MBBS,MD
• Shakhzoda Tilavova
• Tilden Family Dental Services P.C.
• Beth Tyler Tilden
• Victoria Ann Tiley, M.S.ED
• Tilinca LLC
• Tilis Health Inc
• Aza Tilis, S.ED (MA ED.)

• Infectious Disease Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Infectious Disease Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2018; 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.