Physician Compare National (NPI:1114959939)

HEALTHCARE PROVIDER: DENIS A TAVANI MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1114959939
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9830214998
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20120321000409
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	TAVANI
	Individual professional last name
Provider First Name	DENIS
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	MEDICAL COLLEGE OF PENNSYLVANIA
	Individual professional's medical school
Graduation Year	1981
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	309 ROUTE 45
	Group Practice or individual's line 1 address
City	SALEM
	Group Practice or individual's city
State	NJ
	Group Practice or individual's state
Zip Code	080792055
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8569350567
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	310091
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MEMORIAL HOSPITAL OF SALEM COUNTY
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	310011
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	CAPE REGIONAL MEDICAL CENTER INC
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	080001
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	CHRISTIANA HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	310069
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	INSPIRA MEDICAL CENTER ELMER
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y