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

Tiffany Tatevossian

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1669880746

Tiffany Tatevossian is an Internal Medicine in Woodland Park, New Jersey. Qualified in 2014, 12 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in New Jersey.

Years since qualifying
12
Licensed in
NJ
In the registry since
2014
Specialties on file
2

Practice location Address checks out

1225 McBride Ave
Woodland Park, NJ 07424-3812
Phone: (973) 256-5557
Show map & directions

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

Additional practice locations (1)

  • 703 Main St, Paterson, NJ 07503-2621 — (973) 754-2000

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 25MA10129700 (NJ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1669880746
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 1, 2014
Last updated in NPPESNovember 29, 2021
Certification dateNovember 29, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Woodland Park