TIFFANY TATEVOSSIAN
NPI 1669880746
Internal Medicine in Woodland Park, NJ
About Tiffany Tatevossian NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TIFFANY TATEVOSSIAN (NPI 1669880746) is an individual internal medicine provider in Woodland Park, New Jersey, licensed in New Jersey (25MA10129700) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Paterson, and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Tiffany Tatevossian is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Tiffany Tatevossian reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Diego, CA 92120
- Reassigned Medicare billing, California enrollment
- 13,921 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07424 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 18
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WOODLAND PARK, NJ 07424
WOODLAND PARK, NJ 07424
WOODLAND PARK, NJ 07424
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 Tiffany Tatevossian's NPI number?
The NPI number for Tiffany Tatevossian is 1669880746. It was assigned to this individual provider in the NPPES registry on August 1, 2014.
Where is Tiffany Tatevossian located?
Tiffany Tatevossian practices at 1225 Mcbride Ave, Woodland Park, NJ 07424. The listed phone number is (973) 256-5557.
What is Tiffany Tatevossian's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Tiffany Tatevossian enrolled in Medicare?
Yes. Tiffany Tatevossian is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Tiffany Tatevossian's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tiffany Tatevossian reassigns Medicare benefits to Southern California Permanente Medical Group (San Diego, CA). 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 Tiffany Tatevossian'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 Tiffany Tatevossian was last updated on November 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Tiffany Tatevossian · NPI 1669880746
Internal Medicine physician in Woodland Park, New Jersey. Individual provider, active in the CMS NPPES registry since August 1, 2014.
## Identity
- **NPI:** 1669880746 (Entity type: Individual)
- **Enumerated:** August 1, 2014
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 25MA10129700 (New Jersey)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1225 MCBRIDE AVE, Woodland Park, NJ 07424-3812
- **Phone:** (973) 256-5557
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Southern California Permanente Medical Group (NPI 1225060742, San Diego, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** November 29, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1669880746) · Data from the CMS NPPES public registry.