Active NPI
Tanzim Imon, MD
- Student in an Organized Health Care Education/Training Program
- Far Rockaway, NY
National Provider Identifier
1952252728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- St. John's Episcopal Hospital, 327 Beach 19TH Street
Far Rockaway, NY 11691 - Phone
- (718) 869-7672
- Fax
- (718) 869-8530
- NPI assigned
- Feb 6, 2026
- Last updated
- May 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
St. John's Episcopal Hospital, 327 Beach 19TH Street
Far Rockaway, NY 11691
Mailing address
St. John's Episcopal Hospital, 327 Beach 19TH Street
Far Rockaway, NY 11691
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1770336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778630400000",
"number": "1952252728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ST. JOHN'S EPISCOPAL HOSPITAL, 327 BEACH 19TH STREET",
"city": "FAR ROCKAWAY",
"state": "NY",
"postal_code": "11691",
"fax_number": "718-869-8530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ST. JOHN'S EPISCOPAL HOSPITAL, 327 BEACH 19TH STREET",
"city": "FAR ROCKAWAY",
"state": "NY",
"postal_code": "11691",
"telephone_number": "718-869-7672",
"fax_number": "718-869-8530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IMON",
"first_name": "TANZIM",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-02-06",
"last_updated": "2026-05-13",
"certification_date": "2026-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Far Rockaway, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.