Individual provider Active NPI

Alla Tsirlina, M.D.

  • Family Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1962423020
Registry record updated Dec 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
203786 Issued in NY
Practice address
401 Ocean View Ave
Level C
Brooklyn, NY 11235-6828
Phone
(718) 332-7551
Fax
(718) 332-6385
NPI assigned
Jul 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 203786 NY Primary

Addresses

Primary practice location

401 Ocean View Ave
Level C
Brooklyn, NY 11235-6828

Mailing address

401 Ocean View Ave
Brooklyn, NY 11235-6828
Phone (718) 332-7551

Other identifiers 1

IdentifierTypeStateIssuer
01678826MedicaidNY

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20090511000001 NY Practitioner - Family Practice 5597813097

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
203786NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
JHMC Diagnostic and Treatment Center Family Medicine Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355270400000",
    "number": "1962423020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 OCEAN VIEW AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112356828",
            "telephone_number": "718-332-7551",
            "fax_number": "718-332-6385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 OCEAN VIEW AVE",
            "address_2": "LEVEL C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112356828",
            "telephone_number": "718-332-7551",
            "fax_number": "718-332-6385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSIRLINA",
        "first_name": "ALLA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-22",
        "last_updated": "2012-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "203786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01678826",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.