Individual provider Active NPI

Tatyana Girshin

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1881648822
Registry record updated Apr 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
218884 Issued in NY
Practice address
248 Avenue P
Brooklyn, NY 11204-4934
Phone
(718) 743-7090
NPI assigned
May 22, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2008

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 218884 NY Primary

Addresses

Primary practice location

248 Avenue P
Brooklyn, NY 11204-4934

Mailing address

149 Clarence Rd
Scarsdale, NY 10583-6201

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
I20040406000791 NY Practitioner - Internal Medicine 8123011152 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tristate Physician Services PCGroup PAC ID 4284028465, 4 clinicians

Practice addresses (Care Compare)

500 7TH Ave
New York, NY 10018-4502
Phone (844) 947-6782

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
218884NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tristate Physician Services PC Internal Medicine CurrentSince Aug 15, 2022 Accepting new patients
Gregory Girshin MD LLC Past Accepting new patients

Locations

500 Fashion Ave
New York, NY 10018
Phone (212) 642-3451

153 W 27th St
Ste 1100
New York, NY 10001
Phone (833) 947-4927

Networks

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

Interoperability endpoints

  • Direct secure messaging: tatyana.girshin@cinq-nyipa.medentdirect.com

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": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207785600000",
    "number": "1881648822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 CLARENCE RD",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105836201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 AVENUE P",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112044934",
            "telephone_number": "718-743-7090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIRSHIN",
        "first_name": "TATYANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-22",
        "last_updated": "2008-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "218884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.