Tia Jackson-Bey, MD

Primary specialty

Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X

License

036.143119 Issued in IL

Practice address

635 Madison Ave FL 10
New York, NY 10022-1009

Phone

(212) 756-5777

Fax

(212) 756-5700

NPI assigned

Mar 25, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Networks

• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H9678

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.

• Long Island Fertility, PLLC

  • Reproductive Endocrinology Physician
  • Melville, NY
  • NPI 1376828426
  NPD (past)
• Reproductive Medicine Associates of Ny, LLP

  • Reproductive Endocrinology Physician
  • New York, NY
  • NPI 1104875921
  NPD (past)

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

{
    "created_epoch": "1364169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590710400000",
    "number": "1851633176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 MADISON AVE FL 10",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221009",
            "telephone_number": "212-756-5777",
            "fax_number": "212-756-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 MADISON AVE FL 10",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221009",
            "telephone_number": "212-756-5777",
            "fax_number": "212-756-5700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1801 W Taylor St Ste 4A",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606124795",
            "country_code": "US",
            "telephone_number": "312-355-4205",
            "fax_number": "312-355-3654",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON-BEY",
        "first_name": "TIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-25",
        "last_updated": "2020-05-29",
        "certification_date": "2020-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036143119",
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "IL",
            "license": "036.143119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kasey B. Jackman, PHD, RN, PMHNP-BC
• Sophia Jackman, MD
• Clifton Jackness, MD
• Mark Aaron Jacknin, D.O.
• Shelby Jackowitz
• Kamilyah Jackson-Cooper, LCSW
• Alexandra Jackson-Hernandez
• Claire Louise Jackson-Rabinowitz, D.O.
• Alicia Renee Jackson, DDS
• Alina Jackson, NP

• Reproductive Endocrinology Physician in New York, NY
• Providers in New York, NY by specialty
• Reproductive Endocrinology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2020; 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.