Individual provider Active NPI

Justin Tsai

  • Orthopaedic Surgery Physician
  • Staten Island, NY
National Provider Identifier
1912297359
Registry record updated Apr 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
279356 Issued in NY
Practice address
3333 Hyland Blvd
Staten Island, NY 10306
Phone
(718) 667-7500
NPI assigned
Apr 18, 2011
Last updated
Apr 6, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Orthopaedic Surgery Physician 207X00000X 25MA09861900 NJ
Orthopaedic Surgery Physician 207X00000X MD457138 PA
Orthopaedic Surgery Physician 207X00000X 279356 NY Primary

Addresses

Primary practice location

3333 Hyland Blvd
Staten Island, NY 10306

Mailing address

2535 Arthur Kill Rd
Staten Island, NY 10309-1207
Phone (718) 667-7500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20160725000506 NJ Practitioner - Orthopedic Surgery 5799078051 Reassigns benefits to 1 organization
I20171004002983 NY Practitioner - Orthopedic Surgery 5799078051 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
True North Medical Group PCGroup PAC ID 7012194806, 185 clinicians

Practice addresses (Care Compare)

3333 Hylan Blvd
Staten Island, NY 10306-3608
Phone (516) 302-8180

540 Bordentown Ave
South Amboy, NJ 08879-1546
Phone (732) 525-2227

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA09861900NJMDOrthopaedic Surgery Physician
279356NYMDOrthopaedic Surgery Physician
MD457138PAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Faculty Practice Plan CurrentSince Aug 7, 2018 Accepting new patients
Maimonides Medical Center Orthopaedic FPP Orthopaedic Surgery CurrentSince Sep 1, 2017 Accepting new patients
University Physicians of Brooklyn, Inc. Current Accepting new patients
University Physicians of Brooklyn, Inc. Orthopaedic Surgery CurrentSince Feb 7, 2018 Accepting new patients
True North Medical Group PC Orthopaedic Surgery CurrentSince Jun 10, 2023 Accepting new patients
True North Medical Group PC Orthopaedic Surgery CurrentSince Jun 10, 2023 Accepting new patients
University Physicians of Brooklyn, Inc. CurrentSince Feb 7, 2018 Accepting new patients
Maimonides Bone and Joint Faculty Practice Physical Therapy Past Accepting new patients
True North Medical Group PC Past Accepting new patients

Locations

450 Clarkson Ave
Brooklyn, NY 11203
Phone (718) 270-1603

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

6010 Bay Pkwy
Brooklyn, NY 11204
Phone (718) 238-2100

1111 Marcus Ave
Ste M04
New Hyde Park, NY 11042
Phone (585) 736-3650

36 Lincoln Ave
Fl 3
Rockville Ctr, NY 11570

3333 Hylan Blvd
Staten Island, NY 10306
Phone (718) 667-3333

658 White Plains Rd
Tarrytown, NY 10591
Phone (888) 636-7840

Networks

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

Interoperability endpoints

  • Direct secure messaging: jtsai70461@northwell.direct-ci.com

Organizations & group practices 9

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1303084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680739200000",
    "number": "1912297359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2535 ARTHUR KILL RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103091207",
            "telephone_number": "718-667-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 HYLAND BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10306",
            "telephone_number": "718-667-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSAI",
        "first_name": "JUSTIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-18",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NJ",
            "license": "25MA09861900",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "MD457138",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "279356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.