Individual provider Active NPI

Tanzina Nawrin, DO

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1861067456
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
327731 Issued in NY
Practice address
780 8TH Ave Ste 303
New York, NY 10036-7000
Phone
(212) 641-4500
NPI assigned
May 25, 2021
Last updated
Mar 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 327731 NY Primary

Addresses

Primary practice location

780 8TH Ave Ste 303
New York, NY 10036-7000

Mailing address

780 8TH Ave Ste 303
New York, NY 10036-7000
Phone (212) 641-4500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240617002618 NY Practitioner - Internal Medicine 9638579592 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
West Virginia School of Osteopathic Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

780 8TH Ave
New York, NY 10036-7000
Phone (212) 641-4500

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
327731NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Lukes - Roosevelt Hospital Center Internal Medicine CurrentSince Mar 12, 2024 Accepting new patients
Icahn School of Medicine at Mount Sinai Internal Medicine CurrentSince Jul 1, 2024 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Jul 1, 2024 Accepting new patients

Locations

150 E 42nd St
Fl 2E492E29
New York, NY 10017

55 E 34th St
New York, NY 10016
Phone (212) 252-6131

780 8th Ave
New York, NY 10036
Phone (212) 641-4000

780 8th Ave
Ste 303
New York, NY 10036
Phone (212) 641-4500

Networks

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1621900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1861067456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 8TH AVE STE 303",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100367000",
            "telephone_number": "212-641-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 8TH AVE STE 303",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100367000",
            "telephone_number": "212-641-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAWRIN",
        "first_name": "TANZINA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-25",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "327731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.