Theodore Tyberg MD

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

THEODORE TYBERG MD

Practice address

407 E 70TH St
New York, NY 10021-5327

Phone

(646) 850-6577

Fax

(646) 998-5050

NPI assigned

Sep 27, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Theodore Tyberg, MD

Title

President

Phone

(646) 850-6577

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1538006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538006400000",
    "number": "1811472616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 E 70TH ST FL 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100215352",
            "telephone_number": "646-850-6577",
            "fax_number": "646-998-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 E 70TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100215327",
            "telephone_number": "646-850-6577",
            "fax_number": "646-998-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THEODORE TYBERG MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-27",
        "last_updated": "2018-09-27",
        "status": "A",
        "authorized_official_last_name": "TYBERG",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-850-6577",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Then
• Shirley Zair Then, NP-BC, NP-C
• Sthefanie Then, LMSW
• Theo E. Obrig, Inc.
• Theodore Diktaban, MD PLLC
• Theodore W Lieberman MD PC
• Araceli Theodore
• Deborah Anne Theodore
• John L. Theodore, PH.D.
• Mary Eugenia Theodore, MD MPH

• Medical Specialty Clinic/Center in New York, NY
• Providers in New York, NY by specialty
• Medical Specialty Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.