Tiah Lanae Booker, PHYSICIAN ASSISTANT
NPI 1093527616ActiveIndividual· Physician Assistant· Hamden, CT
Physician Assistant (PHYSICIAN ASSISTANT) with Icahn School of Medicine at Mount Sinai, practicing in Hamden, Connecticut. Enrolled in Medicare as practitioner - physician assistant. Lists Mount Sinai Hospital as a hospital affiliation.
Overview
| NPI | 1093527616 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHYSICIAN ASSISTANT |
| Sole proprietor | No |
| NPI issued | Jan 21, 2025 |
| Last updated in NPPES | Jan 21, 2025 |
| Certified by provider | Jan 21, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | NY |
| Physician Assistant | 363A00000X | — | CT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (NY) |
|---|
Education and affiliations
| Graduation year | 2025 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Icahn School of Medicine at Mount SinaiNew York, NY · 2,843 clinicians
Hospital affiliation
- Mount Sinai HospitalNew York, NY
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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