Individual provider Active NPI

Tasbeeh Fatima, M.D

  • Psychiatry Physician
  • Bronx, NY
National Provider Identifier
1972657997
Registry record updated Mar 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
262170 Issued in NY
Practice address
3424 Kossuth Ave
11 A
Bronx, NY 10467-2410
Phone
(718) 519-4850
NPI assigned
Jan 23, 2007
Last updated
Mar 30, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 002032 NY
Psychiatry Physician 2084P0800X 262170 NY Primary

Addresses

Primary practice location

3424 Kossuth Ave
11 A
Bronx, NY 10467-2410

Mailing address

3424 Kossuth Ave
11 A
Bronx, NY 10467-2410

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
I20040504000946 NY Practitioner - Psychiatry 3678561032 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of OrangeGroup PAC ID 0648169185, 28 clinicians

Practice addresses (Care Compare)

141 Broadway
Newburgh, NY 12550-6204
Phone (845) 568-5260

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Affiliate Group of New York PC CurrentSince Mar 1, 2024 Accepting new patients
County of Orange CurrentSince Sep 1, 2019 Accepting new patients
County of Orange CurrentSince Sep 1, 2019 Accepting new patients
County of Orange Current Accepting new patients

Locations

3424 Kossuth Ave
#11A
Bronx, NY 10467
Phone (718) 519-4850

2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354

30 Harriman Dr
Goshen, NY 10924
Phone (845) 291-2600

506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000

141 Broadway
Newburgh, NY 12550
Phone (845) 568-5260

146 Pike St
Port Jervis, NY 12771
Phone (845) 856-1458

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: tfatima1169395@nychhc.direct-ci.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333065600000",
    "number": "1972657997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3424 KOSSUTH AVE",
            "address_2": "11 A",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104672410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3424 KOSSUTH AVE",
            "address_2": "11 A",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104672410",
            "telephone_number": "718-519-4850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FATIMA",
        "first_name": "TASBEEH",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2012-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "002032",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "262170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.