Organization Active NPI

Satish Tiyyagura

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1972806818
Registry record updated Dec 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
231396 Issued in NY
Legal business name
SATISH TIYYAGURA
Practice address
142 Joralemon Street
Ste 11B
Brooklyn, NY 11201-4709
Phone
(718) 815-1000
Fax
(718) 815-8122
NPI assigned
Dec 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2010

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

Authorized official

Name
Satish Tiyyagura, MD
Title
Ceo
Phone
(718) 815-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 231396 NY Primary

Addresses

Primary practice location

142 Joralemon Street
Ste 11B
Brooklyn, NY 11201-4709

Mailing address

302 Manor Rd
Staten Island, NY 10314-2408
Phone (718) 815-1000

Other identifiers 1

IdentifierTypeStateIssuer
231396OtherNYLIC

National Provider Directory

National Provider Directory

Locations

142 Joralemon St
Ste 11B
Brooklyn, NY 11201
Phone (718) 246-0130

NPI Registry JSON

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

{
    "created_epoch": "1292371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292371200000",
    "number": "1972806818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 MANOR RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103142408",
            "telephone_number": "718-815-1000",
            "fax_number": "718-815-8122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 JORALEMON STREET",
            "address_2": "STE 11B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112014709",
            "telephone_number": "718-815-1000",
            "fax_number": "718-815-8122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SATISH TIYYAGURA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-15",
        "last_updated": "2010-12-15",
        "status": "A",
        "authorized_official_last_name": "TIYYAGURA",
        "authorized_official_first_name": "SATISH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-815-1000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "231396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIC",
            "identifier": "231396",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2010; 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.