DR. IRA S TISCH M.D. NPI 1629022967

NPI Information

NPI: 1629022967
Provider Name: DR. IRA S TISCH, M.D.
Classification: Internal Medicine - 207RN0300X
Entity Type: Individual

Specialization: Nephrology

Address:
555 FRENCH RD
SUITE 103
NEW HARTFORD, NY
ZIP 13413
Phone: (315) 735-3541
Get Directions

DR. Ira S Tisch, M.D. is a nephrology internal medicine in New Hartford, NY. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. DR. Ira S Tisch, M.D. NPI is 1629022967. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

555 FRENCH RD
SUITE 103
NEW HARTFORD, NY
ZIP 13413-044
Phone: (315) 735-3541
Fax: (315) 724-3255

The enumeration date for this NPI number is 5/20/2006 and was last updated on 7/30/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine		1576065	NEW YORK	No
2	207RN0300X	Internal Medicine	Nephrology	1576065	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	F20723	MEDICARE UPIN	NEW YORK
2	01748907	MEDICAID	NEW YORK
3	RA3054	MEDICARE PIN	NEW YORK
4	P00174251	MEDICARE PIN	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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