Tier Pediatrics LLC

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

Legal business name

TIER PEDIATRICS LLC

Practice address

256 Harry L Dr
Johnson City, NY 13790-1423

Phone

(607) 777-9475

NPI assigned

Jun 24, 2021

Organization subpart

No

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

Authorized official

Name

Nasreen Battla, MDNPI 1528173093

Title

Owner

Phone

(607) 624-2928

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nasreen N Battla, MD

  • Pediatric Adolescent Medicine Physician
  • Johnson City, NY
  • NPI 1528173093
  NPD Authorized official
• Madison Lyford

  • Physician Assistant
  • Johnson City, NY
  • NPI 1639802283

  Single Specialty

  NPD
• Justin Weilert, NP

  • Family Nurse Practitioner
  • Ithaca, NY
  • NPI 1922625383
  NPD

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

{
    "created_epoch": "1624492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624492800000",
    "number": "1952971715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 HARRY L DR",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137901423",
            "telephone_number": "607-777-9475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 HARRY L DR",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137901423",
            "telephone_number": "607-777-9475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIER PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-24",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A",
        "authorized_official_last_name": "BATTLA",
        "authorized_official_first_name": "NASREEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "607-624-2928",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01150325",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Thomas, PHARMD
• Austin Tidwell
• Tier ENT Associates, PC
• Tier Orthopedic Associates, P.C.
• Tier Pediatrics
• Chloe Nicole Tinklepaugh
• Aleksandra Tiy, AUD
• Sabah S Toma, MD
• Tabitha Rae Toman, DPT
• Brandon Sabah Tominna, M.D.

• Pediatric Adolescent Medicine Physician in Johnson City, NY
• Providers in Johnson City, NY by specialty
• Pediatric Adolescent Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; 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.