Active NPI
Tanya Eleanor Duvivier, DO
- Pediatrics Physician
- Brooklyn, NY
National Provider Identifier
1851454268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 2378041
- Practice address
- 17 Bristol St
Brooklyn, NY 11212-5629 - Phone
- (718) 495-8160
- NPI assigned
- Dec 18, 2006
- Last updated
- Nov 6, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 2378041 | NY | Primary |
Addresses
Primary practice location
17 Bristol St
Brooklyn, NY 11212-5629
Mailing address
17 Bristol St
Brooklyn, NY 11212-5629
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2378041 | NY | MD | Pediatrics Physician |
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257465600000",
"number": "1851454268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 BRISTOL ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112125629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 BRISTOL ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112125629",
"telephone_number": "718-495-8160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUVIVIER",
"first_name": "TANYA",
"middle_name": "ELEANOR",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-18",
"last_updated": "2009-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "2378041",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.