Tatiana Chisolm
Case Manager/Care Coordinator in Staten Island, NY. Individual provider (NPI-1).
NPI number1447512751
StatusActive
Last updated in NPPESJun 12, 2012
Details
- NPI
- 1447512751
- Entity type
- Individual (NPI-1)
- Name
- Tatiana Chisolm
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 12, 2012
- Last updated
- Jun 12, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | C35077320057832 | NJ | Yes |
Practice location
1000 South AveStaten Island, NY 10314
Phone 718-477-0961
Mailing address
9 Rues LnEast Brunswick, NJ 08816-3859
Phone 732-619-9355
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 161 Case Manager/Care Coordinator providers in Staten Island · All 15,106 providers in Staten Island
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