NPIMap

Individual provider Active NPI

Tova Fischer Isseroff, M.D.

  • Otolaryngology Physician
  • Mineola, NY
National Provider Identifier
1962729103
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
258361 Issued in NY
Practice address
134 Mineola Blvd
Suite 200
Mineola, NY 11501-3959
Phone
(516) 294-9363
Fax
(516) 294-6228
NPI assigned
Apr 28, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Otolaryngology Physician 207Y00000X 258361 NY Primary

Addresses

Primary practice location

134 Mineola Blvd
Suite 200
Mineola, NY 11501-3959

Mailing address

134 Mineola Blvd
Suite 200
Mineola, NY 11501-3959
Phone (516) 294-9363

Other identifiers 1

IdentifierTypeStateIssuer
03819394MedicaidNY

Other names 1

  • Dr. Tova C Fischer Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tisseroff307915@nyumc.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151118002132 NY Practitioner - Otolaryngology 9032419387 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Albert Einstein College of Medicine of Yeshiva University, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

120 Mineola Blvd
Suite 600
Mineola, NY 11501-4074
Phone (516) 663-9500

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
New York University CurrentSince May 1, 2021 Accepting new patients
Icahn School of Medicine at Mount Sinai Otolaryngology CurrentSince Sep 7, 2015 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Sep 7, 2015 Accepting new patients
New York University Otolaryngology CurrentSince May 1, 2021 Accepting new patients

Locations

7901 Broadway
Rm A119
Elmhurst, NY 11373
Phone (718) 334-3915

1300 Franklin Ave
Ste ML6
Garden City, NY 11530
Phone (516) 353-1900

120 Mineola Blvd
Ste 600
Mineola, NY 11501
Phone (516) 663-4525

134 Mineola Blvd
Ste 200
Mineola, NY 11501
Phone (516) 294-9363

134 Mineola Blvd
Mineola, NY 11501
Phone (516) 294-9363

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Interoperability endpoints

  • Direct secure messaging: tisseroff307915@nyumc.direct-ci.com

Organizations & group practices 5

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1272412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1962729103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 MINEOLA BLVD",
            "address_2": "SUITE 200",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115013959",
            "telephone_number": "516-294-9363",
            "fax_number": "516-294-6228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 MINEOLA BLVD",
            "address_2": "SUITE 200",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115013959",
            "telephone_number": "516-294-9363",
            "fax_number": "516-294-6228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISSEROFF",
        "first_name": "TOVA",
        "middle_name": "FISCHER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-28",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NY",
            "license": "258361",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03819394",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tisseroff307915@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "134 Mineola Blvd",
            "address_2": "Suite 200",
            "city": "Mineola",
            "state": "NY",
            "country_code": "US",
            "postal_code": "115013959",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TOVA",
            "last_name": "FISCHER",
            "middle_name": "C",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mineola, NY

Sources for this page

Verify at the official NPI Registry.