Individual provider Active NPI

Tatyana Ponti, MD

  • Internal Medicine Physician
  • Little Silver, NJ
National Provider Identifier
1811099005
Registry record updated Jun 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA07772800 Issued in NJ
Practice address
160 White Road
#102
Little Silver, NJ 07739
Phone
(732) 450-0062
Fax
(732) 450-0616
NPI assigned
Sep 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA07772800 NJ Primary

Addresses

Primary practice location

160 White Road
#102
Little Silver, NJ 07739

Mailing address

160 White Rd
#102
Little Silver, NJ 07739-1165
Phone (732) 450-0062

Other identifiers 1

IdentifierTypeStateIssuer
0052825MedicaidNJ

Other names 1

  • Dr. Tatyana Fast Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041221000513 NJ Practitioner - Internal MedicinePractitioner - Dermatology 2567420672 Reassigns benefits to 1 organization
Practice locations: Little Silver, NJ

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Dermatology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

160 White Rd
Suite 102
Little Silver, NJ 07739-1167
Phone (732) 450-0062

Hospital & facility affiliations

  • Visiting Nurse Association of Central Jersey Home Care and Hospice Home health agency, Toms River, NJ, CCN 317067
  • Hackensack Meridian at Home Monmouth County Home health agency, Neptune, NJ, CCN 317084
  • Riverview Medical Center Hospital, Red Bank, NJ, CCN 310034
  • Monmouth Medical Center Hospital, Long Branch, NJ, CCN 310075
  • Jersey Shore University Medical Center Hospital, Neptune, NJ, CCN 310073

Merit-based Incentive Payment System (MIPS)

Final score
92.66 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
75.53

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth55

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA07772800NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tatyana Fast MD PC CurrentSince Jul 1, 2022 Accepting new patients

Locations

160 White Rd
Ste 102
Little Silver, NJ 07739
Phone (732) 450-0062

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ACIFCD/Endpoint/ACIFCD

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277769600000",
    "number": "1811099005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 WHITE RD",
            "address_2": "#102",
            "city": "LITTLE SILVER",
            "state": "NJ",
            "postal_code": "077391165",
            "telephone_number": "732-450-0062",
            "fax_number": "732-450-0616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 WHITE ROAD",
            "address_2": "#102",
            "city": "LITTLE SILVER",
            "state": "NJ",
            "postal_code": "07739",
            "telephone_number": "732-450-0062",
            "fax_number": "732-450-0616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONTI",
        "first_name": "TATYANA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2010-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA07772800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0052825",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TATYANA",
            "last_name": "FAST",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Little Silver, NJ

Sources for this page

Verify at the official NPI Registry.