DR. JEFFRY TAMBOR (NPI# 1679677892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679677892 |
| Entity Type | Individual |
| Full Name | DR. JEFFRY TAMBOR |
| Credential | MD |
| Practice Address |
1975 Hylan Blvd Ste 3 Staten Island NY 10306-3523 |
| Mailing Address |
Po Box 141296 Staten Island NY 10314-1296 |
| Practice Telephone | 7189795880 |
| Practice Fax Number | 7189796476 |
| Mailing Telephone | 7189795880 |
| Mailing Fax Number | 7189796476 |
| Enumeration Date | 2006-09-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
158418 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01925915 | 05 |
| Street Address |
1975 HYLAN BLVD STE 3 |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10306-3523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669888277 | Staten Island Medical of New York LLC | Surgery | 1975 Hylan Blvd, Staten Island, NY 10306 | 2014-07-02 |
| 1629495601 | Sunrise Medical Practice PC | Clinic/Center | 1975 Hylan Blvd, Staten Island, NY 10306-3526 | 2014-03-27 |
| 1134479306 | Jessica L Consolmagno | Physician Assistant | 1975 Hylan Blvd, Staten Island, NY 10306-3523 | 2012-09-14 |
| 1205042546 | Steven S. Schiebert | Orthopaedic Surgery | 1975 Hylan Blvd, Suite 1, Staten Island, NY 10306-3523 | 2007-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134737372 | Nancy Burns | Counselor | 345 Guyon Ave # 14, Staten Island, NY 10306 | 2020-07-14 |
| 1710537642 | Happy Island Senior Center LLC | Clinic/Center | 555 Greeley Ave, Staten Island, NY 10306 | 2019-09-12 |
| 1215580055 | Keann Pender | Counselor | 345 Guyon Ave Rm 14, Staten Island, NY 10306 | 2019-07-22 |
| 1346751435 | Amanda Nicole Lewis | Speech-Language Pathologist | 465 New Dorp Lane, The Richard H. Hungerford School, Staten Island, NY 10306 | 2017-10-17 |
| 1649793142 | Olympia Services Inc | Radiology | 1913 Olympia Blvd., Staten Island, NY 10306 | 2017-07-18 |
| 1265961601 | A & S Educational Technology Inc. | Early Intervention Provider Agency | 99 Sydney Pl, Staten Island, NY 10306 | 2017-06-08 |
| 1124489638 | Prospect Kids, LLC | Early Intervention Provider Agency | 21 Kayla Court, Staten Island, NY 10306 | 2016-03-10 |
| 1124498407 | Tatyana Kateva | Registered Nurse | 1975 Hylan Blvd Suite 1, Staten Island, NY 10306 | 2015-09-30 |
| 1336536275 | Natallia Verbitsky | Occupational Therapist | 165 Twombly Ave, Staten Island, NY 10306 | 2015-04-17 |
| 1922491745 | Evan Ross Cohen | Dentist | 1975 Hylan Blvd., Unit #2, Hylan Dental Arts, Staten Island, NY 10306 | 2015-03-18 |
| Find all providers in zip 10306 | ||||
| Taxonomy Code | 207RA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Addiction Medicine |
| An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689272510 | Richter Medical PC | Internal Medicine | 1 Appaloosa Ln, Millbrook, NY 12545-6051 | 2020-10-13 |
| 1205493533 | Bct Medical Services PC | Internal Medicine | 230 Hilton Ave Ste 106, Hempstead, NY 11550-8116 | 2019-05-22 |
| 1568965309 | Lloyd E. Zimmerman | Internal Medicine | 205 E 95th St Apt 18b, New York, NY 10128-0237 | 2018-03-16 |
| 1962893560 | Maple Med Group LLC | Internal Medicine | 2000 Maple Hill St Ste 101, Yorktown Heights, NY 10598-4122 | 2015-02-18 |
| 1467897058 | Komal Amin | Internal Medicine | 25 Fairfield Way Apt 1, Commack, NY 11725-3414 | 2013-05-08 |
| 1407191364 | East End Physician Services PC | Internal Medicine | 44210 County Rd. 48, Southold, NY 11971 | 2012-12-04 |
| 1982976999 | Express Medical Care, P.c | Internal Medicine | .357 Broadway, Suite 2c, Amityville, NY 11701 | 2012-02-07 |
| 1952610701 | Annemarie Bonawitz-dodi | Internal Medicine | 942 Route 376 Ste 201, Wappingers Falls, NY 12590-6493 | 2010-09-28 |
| 1558561985 | Jack Resnik | Internal Medicine | 480 Genesee Street, Rochester, NY 14611 | 2007-07-24 |
| 1114132701 | Joshua David Lee | Internal Medicine | 423 E.23rd St., Vamc 15th Floor 15156n, New York, NY 10010 | 2007-05-14 |
| Find all providers with the same taxonomy | ||||
| City | STATEN ISLAND |
| Zip Code | 10306 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.