Fatma Tavukcu Ergin, MD

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

37 E Ridgewood Ave FL 3
Ridgewood, NJ 07450-3809

Phone

(201) 639-1029

NPI assigned

Mar 22, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1647907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647907200000",
    "number": "1982353389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 E RIDGEWOOD AVE FL 3",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503809",
            "telephone_number": "201-639-1029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 E RIDGEWOOD AVE FL 3",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503809",
            "telephone_number": "201-639-1029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAVUKCU ERGIN",
        "first_name": "FATMA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-22",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "YHZ72094556",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Ridgewood",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "37 E Ridgewood Ave Fl 3",
            "city": "Ridgewood",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "074503809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nanceyanne Tallis
• Helen Tam, PHD
• Noran Taman, RPH
• Gregory Vahan Tamirian, DMD
• Metin Taskin, MD
• Linda Taylor, PH.D.
• Beatriz Carmen Tejeiro, RN, CPNP
• Celeste Telfeyan, D.O.
• Krista L Teresak, PA-C
• Andrea Kara Tesher, PSYD

• Student in an Organized Health Care Education/Training Program in Ridgewood, NJ
• Providers in Ridgewood, NJ by specialty
• Student in an Organized Health Care Education/Training Program in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2022; 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.