Individual provider Active NPI

Tamara B Desvarieux, NP

  • Adult Health Nurse Practitioner
  • Lynbrook, NY
National Provider Identifier
1114205531
Registry record updated Dec 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
305723 Issued in NY
Practice address
95 Pearsall Ave
Lynbrook, NY 11563-1542
Phone
(516) 778-1736
NPI assigned
Aug 2, 2011
Last updated
Dec 20, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 305723 NY Primary

Addresses

Primary practice location

95 Pearsall Ave
Lynbrook, NY 11563-1542

Mailing address

95 Pearsall Ave
Lynbrook, NY 11563-1542
Phone (516) 778-1736

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180309001423 NY Practitioner - Nurse Practitioner 9638305337 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bronx Medical Practice P.C. CurrentSince Jul 23, 2019 Accepting new patients
Essen Medical Associates, PC Current Accepting new patients
Essen Medical Associates,PC CurrentSince Jan 16, 2018 Accepting new patients
Essen Medical Associates, PC CurrentSince Jan 16, 2018 Accepting new patients
Tamara B. Desvarieux, Adult Nurse Practitioner,P.C. Adult Health Current Accepting new patients
House Call Medical Services of New York, PLLC CurrentSince Jan 16, 2018 Accepting new patients
Brookview Medical Associates, PLLC CurrentSince Oct 1, 2022 Accepting new patients

Locations

80 Orville Dr
Ste 100
Bohemia, NY 11716
Phone (516) 308-6610

1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

2015 Grand Concourse
#13202
Bronx, NY 10453

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1312243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513728000000",
    "number": "1114205531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 PEARSALL AVE",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115631542",
            "telephone_number": "516-778-1736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 PEARSALL AVE",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115631542",
            "telephone_number": "516-778-1736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESVARIEUX",
        "first_name": "TAMARA",
        "middle_name": "B",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-02",
        "last_updated": "2017-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "305723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynbrook, NY

Sources for this page

Verify at the official NPI Registry.