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DR. SHMUEL TIOSANO MD MS MPH
NPI 1457037681
Student in an Organized Health Care Education/Training Program in New York, NY

Active since June 22, 2023PECOS Enrolled
100 E 77TH ST, NEW YORK, NY 10075(212) 434-4763 Get Directions Write a Review

NPPES record last updated: July 16, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 21, 2024, Sep 5, 2023, Jun 22, 2023 (3 updates tracked since 2023).

About Dr. Shmuel Tiosano Md Ms Mph NPPES

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

DR. SHMUEL TIOSANO MD MS MPH (NPI 1457037681) is an individual student in an organized health care education/training program in New York, New York, licensed in New York (325689) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457037681
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. SHMUEL TIOSANOCredential: MD MS MPH
Location Address100 E 77TH STNew York, NY 10075-1850
Mailing Address100 E 77th StNew York, NY 10075-1850 · (212) 434-4763
Phone(212) 434-4763
Sole ProprietorNo
Enumeration DateJune 22, 2023
Last NPPES UpdateJuly 16, 20253 updates tracked since enumeration
NPPES CertifiedJuly 16, 2025
✔ NPI 1457037681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in NY · 325689
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedGeneral PracticeTaxonomy 208D00000X · License 325689 (NY)
100 E 77TH ST, New York, NY 10075
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Shmuel Tiosano Md Ms Mph 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 Shmuel Tiosano reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Brookview Medical Associates, PLLC
45 mi
General Practice
80 ORVILLE DR STE 100
Bohemia, NY 11716
  • Reassigned Medicare billing, New York enrollment
  • 754 clinicians in this Medicare group
NPI 1871965855 (972) 715-3800

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. CATHERINE WILLIAMS HALL NURSE PRACTITIONER
Nurse Practitioner (Neonatal, Critical Care)
100 E 77TH ST
NEW YORK, NY 10075
New York County (212) 434-2000
MS. PUNAM SHERPA PA
Physician Assistant
100 E 77TH ST
NEW YORK, NY 10075
New York County (646) 752-1480
MARIA PUTILINA
Student in an Organized Health Care Education/Training Program
100 E 77TH ST
NEW YORK, NY 10075
New York County (212) 434-2150
LINDA MANGERA
Student in an Organized Health Care Education/Training Program
100 E 77TH ST
NEW YORK, NY 10075
New York County (212) 434-2000
JUSTIN WAN
Student in an Organized Health Care Education/Training Program
100 E 77TH ST
NEW YORK, NY 10075
New York County (212) 434-4763
AMANDA JEAN BATTISTA PA
Physician Assistant
100 E 77TH ST
NEW YORK, NY 10075
New York County (212) 434-2000
SAGAR MULAY
Anesthesiology
100 E 77TH ST
NEW YORK, NY 10075
New York County (731) 676-2644
REBECCA SAUNDERS AGACNP
Nurse Practitioner (Acute Care)
100 E 77TH ST
NEW YORK, NY 10075
New York County (212) 434-6500

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 Shmuel Tiosano's NPI number?

The NPI number for Shmuel Tiosano is 1457037681. It was assigned to this individual provider in the NPPES registry on June 22, 2023.

Where is Shmuel Tiosano located?

Shmuel Tiosano practices at 100 E 77th St, New York, NY 10075. The listed phone number is (212) 434-4763.

What is Shmuel Tiosano's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Shmuel Tiosano enrolled in Medicare?

Yes. Shmuel Tiosano is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shmuel Tiosano's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shmuel Tiosano reassigns Medicare benefits to Brookview Medical Associates, PLLC (Bohemia, 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 Shmuel Tiosano'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 Shmuel Tiosano was last updated on July 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.