Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. JEREMIAH THYAGARAJ MD
NPI 1689379844
Internal Medicine in South Richmond Hill, NY

Q: What is Jeremiah Thyagaraj's NPI number?

The NPI number for Jeremiah Thyagaraj is 1689379844. It was assigned to this individual provider in the NPPES registry on April 4, 2023.

Q: What is Jeremiah Thyagaraj's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since April 04, 2023

12506 101ST AVE, SOUTH RICHMOND HILL, NY 11419(718) 849-2900(718) 803-5168 Get Directions Write a Review

NPPES record last updated: August 6, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 6, 2026, Apr 4, 2023 (2 updates tracked since 2023).

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About Dr. Jeremiah Thyagaraj Md NPPES

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

DR. JEREMIAH THYAGARAJ MD (NPI 1689379844) is an individual internal medicine provider in South Richmond Hill, New York, licensed in New York (346384) and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1689379844

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. JEREMIAH THYAGARAJCredential: MD

Location Address12506 101ST AVESouth Richmond Hill, NY 11419-1412

Mailing Address55 Water St Fl 2New York, NY 10041-0010 · (646) 680-2888 · Fax (516) 542-5556

Phone(718) 849-2900

Fax(718) 803-5168

Sole ProprietorNo

Enumeration DateApril 4, 2023

Last NPPES UpdateAugust 6, 20262 updates tracked since enumeration

NPPES CertifiedAugust 6, 2026

✔ NPI 1689379844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in NY · 346384

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

12506 101ST AVE, South Richmond Hill, NY 11419

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Other Providers at the Same Location NPPES 15

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

KAREN WOODBURN-HOURIE MD

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