Active NPI
Michael Joseph Tadros MD PLLC
- Internal Medicine Physician
- Staten Island, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- MICHAEL JOSEPH TADROS MD PLLC
- Practice address
- 148 New Dorp LN
Staten Island, NY 10306-3004 - Phone
- (718) 207-6197
- NPI assigned
- Sep 8, 2022
- Last updated
- Sep 8, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Tadros, MD
- Title
- Owner
- Phone
- (718) 207-6197
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
148 New Dorp LN
Staten Island, NY 10306-3004
Mailing address
148 New Dorp LN
Staten Island, NY 10306-3004
Phone (718) 207-6197
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 267332-01 | Other | NY | STATE LICENSE |
National Provider Directory
National Provider DirectoryLocations
4870 Hylan Blvd
#2
Staten Island, NY 10312
Phone (718) 207-6197
148 New Dorp Ln
Staten Island, NY 10306
Phone (718) 207-6197
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Staten Island, NY
- NPI 1528366267
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662595200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1662595200000",
"number": "1801517750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "148 NEW DORP LN",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103063004",
"telephone_number": "718-207-6197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "148 NEW DORP LN",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103063004",
"telephone_number": "718-207-6197"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHAEL JOSEPH TADROS MD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-08",
"last_updated": "2022-09-08",
"certification_date": "2022-09-08",
"status": "A",
"authorized_official_last_name": "TADROS",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "718-207-6197",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "267332-01",
"state": "NY"
}
],
"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 Sep 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.