Organization Active NPI

Tina Dobsevage,M.D.,P.C.

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1972707057
Registry record updated Sep 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
140444 Issued in NY
Legal business name
TINA DOBSEVAGE,M.D.,P.C.
Practice address
1050 5TH Ave Ofc 4
New York, NY 10028-0110
Phone
(646) 672-0763
Fax
(646) 672-0741
NPI assigned
Jun 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2007

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

Authorized official

Name
Terry Sonterre
Title
Biller
Phone
(212) 477-3544

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 140444 NY Primary

Addresses

Primary practice location

1050 5TH Ave Ofc 4
New York, NY 10028-0110

Mailing address

1050 5TH Ave Ofc 4
New York, NY 10028-0110
Phone (646) 672-0763

National Provider Directory

National Provider Directory

Locations

1050 5th Ave
Ste 4
New York, NY 10028
Phone (646) 672-0763

1050 5th Ave
Ofc 4
New York, NY 10028
Phone (212) 722-5345

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190592000000",
    "number": "1972707057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 5TH AVE OFC 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280110",
            "telephone_number": "646-672-0763",
            "fax_number": "646-672-0741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 5TH AVE OFC 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280110",
            "telephone_number": "646-672-0763",
            "fax_number": "646-672-0741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TINA DOBSEVAGE,M.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2007-09-24",
        "status": "A",
        "authorized_official_last_name": "SONTERRE",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "212-477-3544"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "140444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.