Active NPI
Howard I Tiszenkel, M.D.
- Colon & Rectal Surgery Physician
- Flushing, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Colon & Rectal Surgery Physician
- License
- 154956
- Practice address
- 5645 Main St
W-Ll300
Flushing, NY 11355-5045 - Phone
- (718) 445-0220
- Fax
- (718) 939-1167
- NPI assigned
- May 19, 2006
- 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 |
|---|---|---|---|---|
| Colon & Rectal Surgery Physician | 208C00000X | 154956 | NY | Primary |
Addresses
Primary practice location
5645 Main St
W-Ll300
Flushing, NY 11355-5045
Mailing address
5645 Main St
W-Ll300
Flushing, NY 11355-5045
Phone (718) 670-2127
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01026080 | Medicaid | NY |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Newyork-Presbyterian-Queens | Current | Accepting new patients | |
| Newyork-Presbyterian/Queens | Current | Accepting new patients |
Locations
5645 Main St
#300
Flushing, NY 11355
Phone (718) 303-3720
5645 Main St
Flushing, NY 11355
Phone (718) 670-1435
16303 Horace Harding Expy
Fl 2
Fresh Meadows, NY 11365
Phone (718) 888-9121
17561 Hillside Ave
Ste 402
Jamaica, NY 11432
Phone (718) 670-1021
1981 Marcus Ave
Ste 208
North New Hyde Park, NY 11042
Phone (718) 670-1415
Organizations & group practices 3
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.
-
- Cardiovascular Disease Physician
- Flushing, NY
- NPI 1013960962
-
- Pediatrics Physician
- Fresh Meadows, NY
- NPI 1003114851
-
- Skilled Nursing Facility
- Flushing, NY
- NPI 1689958779
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375228800000",
"number": "1962455808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5645 MAIN ST",
"address_2": "W-LL300",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113555045",
"telephone_number": "718-670-2127",
"fax_number": "718-939-1167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5645 MAIN ST",
"address_2": "W-LL300",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113555045",
"telephone_number": "718-445-0220",
"fax_number": "718-939-1167"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TISZENKEL",
"first_name": "HOWARD",
"middle_name": "I",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-19",
"last_updated": "2013-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": "NY",
"license": "154956",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01026080",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2013; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.