Tatiana Delaurentiis, DPM, PC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

25MD00296400 Issued in NJ

Legal business name

TATIANA DELAURENTIIS, DPM, PC

Practice address

140 Grand Ave
Englewood, NJ 07631-6581

Phone

(201) 569-0212

Fax

(201) 569-7703

NPI assigned

Oct 15, 2009

Last updated

Oct 15, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Tatiana Delaurentiis, D.P.M.

Title

President

Phone

(917) 587-6209

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1255564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255564800000",
    "number": "1841525425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 GRAND AVE",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076316581",
            "telephone_number": "201-569-0212",
            "fax_number": "201-569-7703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 GRAND AVE",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076316581",
            "telephone_number": "201-569-0212",
            "fax_number": "201-569-7703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TATIANA DELAURENTIIS, DPM, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-15",
        "last_updated": "2009-10-15",
        "status": "A",
        "authorized_official_last_name": "DELAURENTIIS",
        "authorized_official_first_name": "TATIANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-587-6209",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00296400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Tadros, M.D.
• Xiangna Tang, M.D
• Laura Tarikyan, MSW, LCSW
• Irina Tartakovsky, MD
• Philip Tasca, MD
• Michelle Angelica Tatis
• Evelyn Taveras
• Isadelis Taveras, MSW
• Debra Tawil, APN
• Michelle Tawil, DPT

• Foot & Ankle Surgery Podiatrist in Englewood, NJ
• Providers in Englewood, NJ by specialty
• Foot & Ankle Surgery Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2009; 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.