Individual provider Active NPI

Tatiana Gusan, MD

  • Student in an Organized Health Care Education/Training Program
  • Plantation, FL
National Provider Identifier
1841930500
Registry record updated Mar 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
8201 W Broward Blvd
Plantation, FL 33324-2701
Phone
(954) 635-6204
NPI assigned
Mar 30, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

8201 W Broward Blvd
Plantation, FL 33324-2701

Mailing address

8201 W Broward Blvd
Plantation, FL 33324-2701
Phone (954) 635-6204

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20260126001472 NY Practitioner - HospitalistPractitioner - Internal Medicine 8123505708 Reassigns benefits to 2 organizations
I20260626004332 FL Practitioner - Emergency Medicine 8123505708 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1111 Marcus Ave
New Hyde Park, NY 11042-1034

133 NE 2ND Ave
Apt 3007
Miami, FL 33132-2919

2 Brighton Rd
Suite 300
Clifton, NJ 07012-1645

4100 International PLZ
Fort Worth, TX 76109-4800

4150 S Hualapai Way Unit
Suite 2007
Las Vegas, NV 89147-8599

610 Sentry Pkwy
Suite 102
Blue Bell, PA 19422-2314

Hospital & facility affiliations

  • HCA Florida Palms West Hospital Hospital, Loxahatchee, FL, CCN 100269
  • Suny/Downstate University Hospital of Brooklyn Hospital, Brooklyn, NY, CCN 330350

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
340358NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inhospital Physicians Corp CurrentSince Jan 1, 2026 Accepting new patients

Locations

418 Broadway
Ste R
Albany, NY 12207
Phone (631) 312-3656

445 Lenox Rd
Brooklyn, NY 11203
Phone (718) 245-4790

610 Sentry Pkwy
Ste 102
Blue Bell, PA 19422

610 Sentry Pkwy
Bldg 660
Blue Bell, PA 19422

Interoperability endpoints

  • Direct secure messaging: tatiana.gusan@hca4.eclinicaldirectplus.com

Organizations & group practices 3

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 2

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": "1648598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648598400000",
    "number": "1841930500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8201 W BROWARD BLVD",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333242701",
            "telephone_number": "954-635-6204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8201 W BROWARD BLVD",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333242701",
            "telephone_number": "954-635-6204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUSAN",
        "first_name": "TATIANA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-30",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.