Alyssa Bavuso

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

F309918-01 Issued in NY

Practice address

345 E 37TH St RM 208
New York, NY 10016-3256

Phone

(866) 582-7454

NPI assigned

Jan 10, 2021

Last updated

Jan 10, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1610236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610236800000",
    "number": "1063000586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 TAMARACK DR",
            "city": "CORTLANDT MANOR",
            "state": "NY",
            "postal_code": "105676722",
            "telephone_number": "914-257-1962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 E 37TH ST RM 208",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100163256",
            "telephone_number": "866-582-7454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAVUSO",
        "first_name": "ALYSSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-10",
        "last_updated": "2021-01-10",
        "certification_date": "2021-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F309918-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas A. Bavaro, M.D.
• Tamara G Bavendam, M.D.
• Rocco J Bavero, C.P.R.A.P
• Theresa Bavero, MA, LCAT, CT
• Pravin C Baviskar, R.PH.
• Jerrin Bawa
• Pratibha Bawa, DPM
• Mohammad Husain Bawany, MD
• Mukta Baweja, M.D.
• Kara Bax

• Nurse Practitioner in New York, NY
• Providers in New York, NY by specialty
• Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.