Individual provider Active NPI

Tadao Ogura, MD

  • Psychiatry Physician
  • Garden City, NY
National Provider Identifier
1831286574
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
117722 Issued in NY
Practice address
600 Old Country Road
Suite 233
Garden City, NY 11530-2011
Phone
(516) 745-0001
Fax
(516) 745-1463
NPI assigned
Oct 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 117722 NY Primary

Addresses

Primary practice location

600 Old Country Road
Suite 233
Garden City, NY 11530-2011

Mailing address

600 Old Country Road
Suite 233
Garden City, NY 11530-2011
Phone (516) 745-0001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831286574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 OLD COUNTRY ROAD",
            "address_2": "SUITE 233",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115302011",
            "telephone_number": "516-745-0001",
            "fax_number": "516-745-0463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 OLD COUNTRY ROAD",
            "address_2": "SUITE 233",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115302011",
            "telephone_number": "516-745-0001",
            "fax_number": "516-745-1463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGURA",
        "first_name": "TADAO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "117722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, NY

Sources for this page

Verify at the official NPI Registry.