Individual provider Active NPI

David Tiersten, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • White Plains, NY
National Provider Identifier
1902862790
Registry record updated Sep 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
92833 Issued in NY
Practice address
280 Dobbs Ferry Rd
Suite 302
White Plains, NY 10607-1900
Phone
(914) 323-0300
Fax
(914) 323-0355
NPI assigned
Apr 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2026

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 92833 NY
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 92833 NY Primary

Addresses

Primary practice location

280 Dobbs Ferry Rd
Suite 302
White Plains, NY 10607-1900

Mailing address

540 Ridgewood Rd
Maplewood, NJ 07040-2135
Phone (973) 762-7770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
92833NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ima Evaluations Past Accepting new patients
Industrial Medicine Associates, PC Past Accepting new patients

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, 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": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790467200000",
    "number": "1902862790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 RIDGEWOOD RD",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070402135",
            "telephone_number": "973-762-7770",
            "fax_number": "973-762-0349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 DOBBS FERRY RD",
            "address_2": "SUITE 302",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106071900",
            "telephone_number": "914-323-0300",
            "fax_number": "914-323-0355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIERSTEN",
        "first_name": "DAVID",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-21",
        "last_updated": "2026-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "92833",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NY",
            "license": "92833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2026; 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.