Provider Demographics
NPI:1457417537
Name:JANE TUVIA MD PC
Entity Type:Organization
Organization Name:JANE TUVIA MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ATTENDING RADIOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:JANE
Authorized Official - Middle Name:EBIN
Authorized Official - Last Name:TUVIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-380-6609
Mailing Address - Street 1:951 NW 13TH ST STE 1D
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33486-2337
Mailing Address - Country:US
Mailing Address - Phone:516-380-6609
Mailing Address - Fax:
Practice Address - Street 1:951 NW 13TH ST STE 1D
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33486-2337
Practice Address - Country:US
Practice Address - Phone:516-380-6609
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-31
Last Update Date:2023-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
2085B0100X
NY1860272085R0202X, 2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Multi-Specialty
Yes2085B0100XAllopathic & Osteopathic PhysiciansRadiologyBody ImagingGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY=========OtherTAX IDENTIFICATION NUMBER