Jeannette Taveras

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

9114 Merrick Blvd FL 6
Jamaica, NY 11432-5247

Phone

(718) 808-5605

NPI assigned

Oct 25, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1508889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508889600000",
    "number": "1114439502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9411 34TH RD",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113726036",
            "telephone_number": "718-808-5605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9114 MERRICK BLVD FL 6",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114325247",
            "telephone_number": "718-808-5605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAVERAS",
        "first_name": "JEANNETTE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-25",
        "last_updated": "2017-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK STATE ID",
            "identifier": "521485076",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Guerda Remy Tassy
• Takia Shonte Tate, CASAC
• Lawrence Tatem I, PT
• Mallika Tatikola, MD
• Frank Peter Tavella, CRC
• Teresa Tawadros
• Andrea Taylor
• Gary Joseph Taylor, RN
• Joann Taylor, RN
• Julie Taylor, LMSW

• Social Worker in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2017; 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.