Individual provider Active NPI

Tamanna Taznin, M.D.

  • Student in an Organized Health Care Education/Training Program
  • Norton, VA
National Provider Identifier
1871272112
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
0116038950 Issued in VA
Practice address
96 15TH St NW Ste 111
Norton, VA 24273-1600
Phone
(276) 439-1872
Fax
(276) 439-1872
NPI assigned
Jul 13, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 60-P122939-01 NY
Student in an Organized Health Care Education/Training Program 390200000X 0116038950 VA Primary

Addresses

Primary practice location

96 15TH St NW Ste 111
Norton, VA 24273-1600

Mailing address

501 Cheltenham Dr
Greenville, NC 27834-2534
Phone (469) 957-7792

Other practice location 1

801 N James St
Rome, NY 13440-3524
Phone (315) 533-1600

Other practice location 2

950 Floyd Ave
Rome, NY 13440-4535
Phone (315) 336-5400

Other practice location 3

1205 Delaware Ave
Buffalo, NY 14209-1401
Phone (716) 885-3838

Other practice location 4

331 Russell St
Chittenango, NY 13037-1201
Phone (315) 687-7255

Other practice location 5

99 6th Ave
Ilion, NY 13357-1527
Phone (315) 895-4050

Other practice location 6

1657 Sunset Ave
Utica, NY 13502-5415
Phone (315) 797-7392

Other practice location 7

425 Beach Ave
Rochester, NY 14612-2011
Phone (585) 663-0930

Other practice location 8

1 Long Beach Rd
Island Park, NY 11558-2254
Phone (516) 432-0300

Other practice location 9

1657 Sunset Ave
Utica, NY 13502-5415
Phone (315) 797-7392

Other practice location 10

257 State St
Batavia, NY 14020-1044
Phone (585) 343-1300

Other practice location 11

15 Saint Pauls Pl
Great Neck, NY 11021-2636
Phone (516) 466-3001

Other practice location 12

100 Baldwin Rd
Hempstead, NY 11550-6844
Phone (516) 538-7171

Other practice location 13

15715 19th Ave
Whitestone, NY 11357-3820
Phone (718) 746-0400

Other practice location 14

60 Merrick Ave
East Meadow, NY 11554-1578
Phone (516) 222-9300

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
I20240129002039 NY Practitioner - Internal Medicine 0244683050 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0116038950VAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmont Health System Current Accepting new patients
Nys Medical Associate PLLC Internal Medicine CurrentSince Dec 3, 2023 Accepting new patients

Locations

300 Community Dr
Plandome, NY 11030

Interoperability endpoints

  • Direct secure messaging: ttaznin438118@balladhealth.medalliesdirect.net

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1689206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1871272112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 CHELTENHAM DR",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278342534",
            "telephone_number": "469-957-7792",
            "fax_number": "276-439-1872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 15TH ST NW STE 111",
            "city": "NORTON",
            "state": "VA",
            "postal_code": "242731600",
            "telephone_number": "276-439-1872",
            "fax_number": "276-439-1872"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 N James St",
            "address_purpose": "LOCATION",
            "city": "Rome",
            "state": "NY",
            "postal_code": "134403524",
            "country_code": "US",
            "telephone_number": "315-533-1600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "950 Floyd Ave",
            "address_purpose": "LOCATION",
            "city": "Rome",
            "state": "NY",
            "postal_code": "134404535",
            "country_code": "US",
            "telephone_number": "315-336-5400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1205 Delaware Ave",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142091401",
            "country_code": "US",
            "telephone_number": "716-885-3838",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "331 Russell St",
            "address_purpose": "LOCATION",
            "city": "Chittenango",
            "state": "NY",
            "postal_code": "130371201",
            "country_code": "US",
            "telephone_number": "315-687-7255",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "99 6th Ave",
            "address_purpose": "LOCATION",
            "city": "Ilion",
            "state": "NY",
            "postal_code": "133571527",
            "country_code": "US",
            "telephone_number": "315-895-4050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1657 Sunset Ave",
            "address_purpose": "LOCATION",
            "city": "Utica",
            "state": "NY",
            "postal_code": "135025415",
            "country_code": "US",
            "telephone_number": "315-797-7392",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "425 Beach Ave",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146122011",
            "country_code": "US",
            "telephone_number": "585-663-0930",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Long Beach Rd",
            "address_purpose": "LOCATION",
            "city": "Island Park",
            "state": "NY",
            "postal_code": "115582254",
            "country_code": "US",
            "telephone_number": "516-432-0300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1657 Sunset Ave",
            "address_purpose": "LOCATION",
            "city": "Utica",
            "state": "NY",
            "postal_code": "135025415",
            "country_code": "US",
            "telephone_number": "315-797-7392",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "257 State St",
            "address_purpose": "LOCATION",
            "city": "Batavia",
            "state": "NY",
            "postal_code": "140201044",
            "country_code": "US",
            "telephone_number": "585-343-1300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15 Saint Pauls Pl",
            "address_purpose": "LOCATION",
            "city": "Great Neck",
            "state": "NY",
            "postal_code": "110212636",
            "country_code": "US",
            "telephone_number": "516-466-3001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Baldwin Rd",
            "address_purpose": "LOCATION",
            "city": "Hempstead",
            "state": "NY",
            "postal_code": "115506844",
            "country_code": "US",
            "telephone_number": "516-538-7171",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15715 19th Ave",
            "address_purpose": "LOCATION",
            "city": "Whitestone",
            "state": "NY",
            "postal_code": "113573820",
            "country_code": "US",
            "telephone_number": "718-746-0400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "60 Merrick Ave",
            "address_purpose": "LOCATION",
            "city": "East Meadow",
            "state": "NY",
            "postal_code": "115541578",
            "country_code": "US",
            "telephone_number": "516-222-9300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAZNIN",
        "first_name": "TAMANNA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-13",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "60-P122939-01",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "VA",
            "license": "0116038950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norton, VA

Sources for this page

Verify at the official NPI Registry.