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DR. MICHAEL TYSHKOV MD
NPI 1902882038
Pediatrics - Pediatric Gastroenterology in Staten Island, NY

Active since December 20, 2005
584 FOREST AVE, STATEN ISLAND, NY 10310(718) 226-5619(718) 226-5620 Get Directions Write a Review

NPPES record last updated: December 31, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Michael Tyshkov Md NPPES

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

DR. MICHAEL TYSHKOV MD (NPI 1902882038) is an individual pediatric gastroenterology provider in Staten Island, New York, licensed in New York (180877) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1902882038
Entity TypeIndividualMale
Primary Taxonomy2080P0206X
Provider Legal NameDR. MICHAEL TYSHKOVCredential: MD
Location Address584 FOREST AVEStaten Island, NY 10310-2512
Mailing Address1 Edgewater St, 6th Fl. Payer RelationsStaten Island, NY 10305-4900 · (718) 226-1008 · Fax (718) 226-1039
Phone(718) 226-5619
Fax(718) 226-5620
Sole ProprietorNo
Enumeration DateDecember 20, 2005
Last NPPES UpdateDecember 31, 2008
✔ NPI 1902882038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
License✔ Licensed in NY · 180877
Definition

A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.

584 FOREST AVE, Staten Island, NY 10310
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Other Identifiers 5

Medicare PIN555221NY
Medicare PIN195247NJ
Medicaid01268262NY
Medicare UPINE94818NY
Medicaid5341400NJ

Other Providers at the Same Location NPPES 10

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

EUGENE HOLUKA MD
Internal Medicine
584 FOREST AVE
STATEN ISLAND, NY 10310
Richmond County (718) 273-0553
CARMEN TORRADO-JULE MD
Pediatrics (Pediatric Endocrinology)
584 FOREST AVE
STATEN ISLAND, NY 10310
Richmond County (718) 226-5613
SIU-PUN CHAN MD
Pediatrics (Pediatric Pulmonology)
584 FOREST AVE
STATEN ISLAND, NY 10310
Richmond County (718) 226-5613
ANUP SINGH MD
Pediatrics (Pediatric Nephrology)
584 FOREST AVE
STATEN ISLAND, NY 10310
Richmond County (718) 226-5613
SHARONE SHEFFER-BABILA MD
Pediatrics (Pediatric Endocrinology)
584 FOREST AVE
STATEN ISLAND, NY 10310
Richmond County (718) 226-5619
UPG HEALTHCARE INC
Clinic/Center
584 FOREST AVE
STATEN ISLAND, NY 10310
Richmond County (718) 226-5603
DR. MICHELE CHUN DEHNERT M.D.
Pediatrics (Developmental - Behavioral Pediatrics)
584 FOREST AVE
STATEN ISLAND, NY 10310
Richmond County (718) 226-1470
DR. GIOVANNA SINANIAN PH.D.
Psychologist
584 FOREST AVE
STATEN ISLAND, NY 10310
Richmond County (917) 757-5954

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 Michael Tyshkov's NPI number?

The NPI number for Michael Tyshkov is 1902882038. It was assigned to this individual provider in the NPPES registry on December 20, 2005.

Where is Michael Tyshkov located?

Michael Tyshkov practices at 584 Forest Ave, Staten Island, NY 10310. The listed phone number is (718) 226-5619.

What is Michael Tyshkov's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

When was this NPI record last updated?

The NPPES record for Michael Tyshkov was last updated on December 31, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.