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TATIANA A PAVLOVA MD
NPI 1235408576
Clinic/Center in New York, NY

Active since December 15, 2011
4738 BROADWAY, NEW YORK, NY 10040(212) 569-5331(212) 569-5330 Get Directions Write a Review

NPPES record last updated: December 15, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tatiana A Pavlova Md NPPES

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

TATIANA A PAVLOVA MD (NPI 1235408576) is a healthcare organization registered as a clinic/center in New York, New York and active in the NPI registry since December 2011. The organization lists Tatiana A Pavlova, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1235408576
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameTATIANA A PAVLOVA MD
Location Address4738 BROADWAYNew York, NY 10040-1103
Mailing Address4738 BroadwayNew York, NY 10040-1103 · (212) 569-5330 · Fax (212) 569-5331
Phone(212) 569-5331
Fax(212) 569-5330
Organization SubpartNo
Authorized OfficialTatiana A PavlovaMedical Director · (212) 569-5330
Enumeration DateDecember 15, 2011
✔ NPI 1235408576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in NY · 224668
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
4738 BROADWAY, New York, NY 10040
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Other Providers at the Same Location NPPES 6

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

COMPTON OPTOMETRY PC
Optometrist (Corneal and Contact Management)
4738 BROADWAY
NEW YORK, NY 10040
New York County (646) 661-7615
JEAN D. MILLER DO
Clinic/Center (Physical Therapy)
4738 BROADWAY
NEW YORK, NY 10040
New York County (212) 569-5330
JASON COMPTON OD
Optometrist
4738 BROADWAY
NEW YORK, NY 10040
New York County (646) 661-7615
MOSAIC MEDICAL, P.C.
Anesthesiology (Pain Medicine)
4738 BROADWAY
NEW YORK, NY 10040
New York County (800) 853-4570
DR. KHENG-JOON LIM D.C.
Chiropractor
4738 BROADWAY
NEW YORK, NY 10040
New York County (212) 569-5330
JOANNA LIU O.D., M.S.
Optometrist
4738 BROADWAY
NEW YORK, NY 10040
New York County (646) 661-7615

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 A Pavlova MD's NPI number?

The NPI number for Tatiana A Pavlova MD is 1235408576. It was assigned to this organization in the NPPES registry on December 15, 2011.

Where is Tatiana A Pavlova MD located?

Tatiana A Pavlova MD is located at 4738 Broadway, New York, NY 10040. The listed phone number is (212) 569-5331.

What is Tatiana A Pavlova MD's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Tatiana A Pavlova MD was last updated on December 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.