Shirley Malabanan Tansiongco, MD

Primary specialty

Adolescent Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0000X

License

189475 Issued in NY

Practice address

1425 Old Country Rd BLDG H
Plainview, NY 11803-5010

Phone

(516) 694-6008

NPI assigned

Apr 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257984000000",
    "number": "1982660825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 MIDDLEVILLE RD",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117682200",
            "telephone_number": "631-261-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 OLD COUNTRY RD BLDG H",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118035010",
            "telephone_number": "516-694-6008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANSIONGCO",
        "first_name": "SHIRLEY",
        "middle_name": "MALABANAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-20",
        "last_updated": "2009-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Adolescent Medicine",
            "state": "NY",
            "license": "189475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tan's Acupuncture, P.C.
• Gayle Lori Tancer, M.S.ED.
• Emily Grace Tang
• Vera W. L. Tang, D.D.S., M.S.
• Dennis Tobias Tansiongco, MD
• Tascha Z. Fuchs DDS PC (Manetto Dentistry)
• Michelle Taub, LCSW
• Shelley Tauber, M.A. C.C.C.-S.L.P.
• Terence D Taylor
• Teaching Family Plainview

• Adolescent Medicine (Internal Medicine) Physician in Plainview, NY
• Providers in Plainview, NY by specialty
• Adolescent Medicine (Internal Medicine) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.