Eva M. Taczanowski Bersin, P.A.

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

005719-1 Issued in NY

Practice address

833 Northern Blvd
Great Neck, NY 11021-5315

Phone

(516) 498-8400

Fax

(516) 498-8404

NPI assigned

Sep 8, 2011

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

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

Specialty

Physician Assistant

Education

Other, 1996

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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

• Aesthetic Plastic Surgery PC

  • Plastic and Reconstructive Surgery Physician
  • Great Neck, NY
  • NPI 1114191905
  Medicare reassignment NPD
• New York Cardiovascular Anesthesiologists, P.C.

  • Anesthesiology Physician
  • Roslyn, NY
  • NPI 1801834411
  NPD (past)

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

{
    "created_epoch": "1315440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315440000000",
    "number": "1164703872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2A JOEL PL",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110503442",
            "telephone_number": "516-944-4009",
            "fax_number": "516-944-4009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 NORTHERN BLVD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215315",
            "telephone_number": "516-498-8400",
            "fax_number": "516-498-8404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TACZANOWSKI BERSIN",
        "first_name": "EVA",
        "middle_name": "M.",
        "name_prefix": "Mrs.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-08",
        "last_updated": "2011-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "005719-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meredith Sykes, M.S.ED., PD
• Stephen L Sylvan, DMD
• Heather Ilene Sznol, M.S., CCC-A
• Simon Szuster, PMHNP
• Niloufar Tabari, SLP
• Tadeusz Korszun, M.D. P.C
• Ingrid P Taff, M.D.
• Arthur Talansky, MD
• Heidi Talansky, PA
• Talk Time Speech Language Pathology PLLC

• Surgical Physician Assistant in Great Neck, NY
• Providers in Great Neck, NY by specialty
• Surgical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.