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TATIANA NDJATOU MD
NPI 1154819159
Pediatrics - Adolescent Medicine in Staten Island, NY

Active since April 25, 2018PECOS Enrolled
475 SEAVIEW AVE, STATEN ISLAND, NY 10305(718) 226-6294 Get Directions Write a Review

NPPES record last updated: October 23, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Tatiana Ndjatou Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TATIANA NDJATOU MD (NPI 1154819159) is an individual adolescent medicine provider in Staten Island, New York, licensed in New York (311443) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154819159
Entity TypeIndividualFemale
Primary Taxonomy2080A0000X
Provider Legal NameTATIANA NDJATOUCredential: MD
Location Address475 SEAVIEW AVEStaten Island, NY 10305-3436
Mailing Address475 Seaview AveStaten Island, NY 10305-3436 · (718) 226-6294
Phone(718) 226-6294
Sole ProprietorNo
Enumeration DateApril 25, 2018
Last NPPES UpdateOctober 23, 2024
NPPES CertifiedOctober 23, 2024
✔ NPI 1154819159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License✔ Licensed in NY · 311443
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Also ListedPediatricsTaxonomy 208000000X · License 311443 (NY)
475 SEAVIEW AVE, Staten Island, NY 10305
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tatiana Ndjatou Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Tatiana Ndjatou reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

North Shore - Lij Medical PC
23 mi
Internal Medicine
270-05 76TH AVE
New Hyde Park, NY 11040
  • Reassigned Medicare billing, New York enrollment
  • 9,353 clinicians in this Medicare group
NPI 1790043479 (516) 465-8089

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. DAWN MARIE COTTONE RPA-C
Physician Assistant (Surgical)
475 SEAVIEW AVE
STATEN ISLAND, NY 10305
Richmond County (718) 226-9508
SHAMYLA FARRUKH MD
Emergency Medicine
475 SEAVIEW AVE
STATEN ISLAND, NY 10305
Richmond County (718) 226-9158
MS. CHRISTINE ANN SPRUFERO CCC - SLP
Speech-Language Pathologist
475 SEAVIEW AVE
STATEN ISLAND, NY 10305
Richmond County (718) 226-6521
DR. SAMANTHA MARIA LEE MD
Internal Medicine (Cardiovascular Disease)
475 SEAVIEW AVE
STATEN ISLAND, NY 10305
Richmond County (718) 226-9510
DR. SHOROK E HASSAN D.O.
Emergency Medicine
475 SEAVIEW AVE
STATEN ISLAND, NY 10305
Richmond County (718) 226-9000
DAVID K CHEN MD
Anesthesiology
475 SEAVIEW AVE
STATEN ISLAND, NY 10305
Richmond County (718) 226-9000
STEPHANIE M POWERS
Occupational Therapist
475 SEAVIEW AVE
STATEN ISLAND, NY 10305
Richmond County (718) 226-9466
KRISTEN COLANDREA PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
475 SEAVIEW AVE
STATEN ISLAND, NY 10305
Richmond County (347) 681-4146

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tatiana Ndjatou's NPI number?

The NPI number for Tatiana Ndjatou is 1154819159. It was assigned to this individual provider in the NPPES registry on April 25, 2018.

Where is Tatiana Ndjatou located?

Tatiana Ndjatou practices at 475 Seaview Ave, Staten Island, NY 10305. The listed phone number is (718) 226-6294.

What is Tatiana Ndjatou's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Is Tatiana Ndjatou enrolled in Medicare?

Yes. Tatiana Ndjatou is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tatiana Ndjatou's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tatiana Ndjatou reassigns Medicare benefits to North Shore - Lij Medical PC (New Hyde Park, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tatiana Ndjatou's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Tatiana Ndjatou was last updated on October 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.