Tatyana Ingberman, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

200551 Issued in NY

Practice address

749 Ocean Pkwy
Brooklyn, NY 11230-7813

Phone

(718) 724-0900

Fax

(718) 724-1590

NPI assigned

Jun 15, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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 1

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Cost

80.6

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Modern Medical Care PC

  • Family Medicine Physician
  • Brooklyn, NY
  • NPI 1417258161
  Medicare reassignment NPD
• Good Health Medical, P.C.

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1619056314
  NPD (past)

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194912000000",
    "number": "1962407106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "749 OCEAN PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112307813",
            "telephone_number": "718-724-0900",
            "fax_number": "718-724-1590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "749 OCEAN PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112307813",
            "telephone_number": "718-724-0900",
            "fax_number": "718-724-1590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGBERMAN",
        "first_name": "TATYANA",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-15",
        "last_updated": "2007-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "200551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01593131",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• May Ling Ing-Wu, LMHC, MA, CASAC-M
• Mercedes Ing
• Boris Ingberg, LCSW
• Polina Ingberman, D.D.S.
• Semyon Ingberman, D.D.S.
• Kailee Nicole Ingegneri
• Solange D Inglis, NP
• Claire Ingoldsby, OTR/L
• Justin William David Ingram, MD
• Victoria Ingram

• Internal Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.