Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Michael Tyshkov, MD

Individual provider Pediatric Gastroenterology Physician · NPI 1902882038

Dr. Michael Tyshkov, MD is a Pediatric Gastroenterology Physician in Staten Island, New York. Licensed in New York. Registered with an NPI since 2005.

Licensed in
NY
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

584 Forest Ave
Staten Island, NY 10310-2512
Phone: (718) 226-5619
Fax: (718) 226-5620
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Gastroenterology Physician (primary) Taxonomy 2080P0206X · Licence 180877 (NY)

Record details

NPI number1902882038
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 20, 2005
Last updated in NPPESDecember 31, 2008

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