Active NPI
Darwin Tavarez
- Athletic Trainer
- Garden City, NY
National Provider Identifier
1003592353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 003343
- Practice address
- 1 Education Dr
Garden City, NY 11530-6719 - Phone
- (516) 572-7674
- NPI assigned
- Jun 22, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 003343 | NY | Primary |
Addresses
Primary practice location
1 Education Dr
Garden City, NY 11530-6719
Mailing address
101 Arthur Ave
West Babylon, NY 11704-5725
Phone (917) 705-0293
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003343 | NY | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687392000000",
"number": "1003592353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 ARTHUR AVE",
"city": "WEST BABYLON",
"state": "NY",
"postal_code": "117045725",
"telephone_number": "917-705-0293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 EDUCATION DR",
"city": "GARDEN CITY",
"state": "NY",
"postal_code": "115306719",
"telephone_number": "516-572-7674"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAVAREZ",
"first_name": "DARWIN",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-06-22",
"last_updated": "2023-06-22",
"certification_date": "2023-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NY",
"license": "003343",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garden City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.