Individual provider Active NPI

Tanveer Shahabuddin Mollah Makker, M.D.

  • Emergency Medicine Physician
  • New York, NY
National Provider Identifier
1891053252
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
284669 Issued in NY
Practice address
525 E 68TH St
New York, NY 10065-4870
Phone
(212) 746-5454
NPI assigned
Apr 24, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X CDRH.0065887 CO
Emergency Medicine Physician 207P00000X 25MA10894900 NJ
Emergency Medicine Physician 207P00000X 284669 NY Primary
Emergency Medicine Physician 207P00000X C200370 CA

Addresses

Primary practice location

525 E 68TH St
New York, NY 10065-4870

Mailing address

525 E 68TH St
New York, NY 10065-4870

Other practice location 1

2740 Fulton Ave Ste 220
Sacramento, CA 95821-5186
Phone (877) 782-8637

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CO, NJ, CA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20160913002239 NY Practitioner - Emergency Medicine 9739475039 Reassigns benefits to 2 organizations
I20210512000192 CO Practitioner - Emergency Medicine 9739475039 Reassigns benefits to 2 organizations
I20220419000458 NJ Practitioner - Emergency Medicine 9739475039 Reassigns benefits to 1 organization
I20251204001067 CA Practitioner - Emergency Medicine 9739475039 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Stationmd Professional CorporationGroup PAC ID 6204184104, 64 clinicians

Practice addresses (Care Compare)

4885 Route 9
Staatsburg, NY 12580-6028
Phone 9086632929898

515 Valley St
Suite 203
Maplewood, NJ 07040-4300
Phone (908) 663-2929

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C200370CAMDEmergency Medicine Physician
CDRH.0065887COMDEmergency Medicine Physician
25MA10894900NJMDEmergency Medicine Physician
284669NYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Weill Medical College of Cornell CurrentSince Jul 5, 2016 Accepting new patients
Stationmd Professional Corporation Emergency Medicine CurrentSince Mar 1, 2022 Accepting new patients
Weill Medical College of Cornell Emergency Medicine CurrentSince Jul 5, 2016 Accepting new patients
Weill Medical College of Cornell Current Accepting new patients
Stationmd California PC Emergency Medicine CurrentSince Oct 1, 2025 Accepting new patients
Carepoint Emergency Medicine, PLLC Emergency Medicine CurrentSince Dec 1, 2021 Accepting new patients
Weill Medical College of Cornell Past Accepting new patients

Locations

2740 Fulton Ave
Ste 220
Sacramento, CA 95821
Phone (877) 782-8637

1501 S Potomac St
Denver, CO 80012
Phone (303) 695-2604

515 Valley St
Ste 203
Maplewood, NJ 07040
Phone 9086632929800

525 E 68th St
New York, NY 10065
Phone (212) 746-2846

Organizations & group practices 7

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": "1335225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779062400000",
    "number": "1891053252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 E 68TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100654870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 E 68TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100654870",
            "telephone_number": "212-746-5454"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2740 Fulton Ave Ste 220",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958215186",
            "country_code": "US",
            "telephone_number": "877-782-8637",
            "fax_number": "908-934-9564",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAKKER",
        "first_name": "TANVEER",
        "middle_name": "SHAHABUDDIN MOLLAH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-24",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CO",
            "license": "CDRH.0065887",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MA10894900",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "284669",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "C200370",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.