NPIMap

Individual provider Active NPI

Aida Tamarova, TEACHER

  • Specialist
  • Flushing, NY
National Provider Identifier
1184059446
Registry record updated Sep 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
1416829 Issued in NY
Practice address
15218 Union Tpke Apt 10R
Flushing, NY 11367-3926
Phone
(917) 254-9080
NPI assigned
Sep 5, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 1416829 NY Primary

Addresses

Primary practice location

15218 Union Tpke Apt 10R
Flushing, NY 11367-3926

Mailing address

15218 Union Tpke Apt 10R
Flushing, NY 11367-3926
Phone (917) 254-9080

Other names 1

  • Mrs. Aida Tamarova Other name

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

LicenseStateTypeSpecialty
1416829NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
St.Marys Healthcare System for Children Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1378339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378339200000",
    "number": "1184059446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15218 UNION TPKE APT 10R",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113673926",
            "telephone_number": "917-254-9080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15218 UNION TPKE APT 10R",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113673926",
            "telephone_number": "917-254-9080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMAROVA",
        "first_name": "AIDA",
        "name_prefix": "Mrs.",
        "credential": "TEACHER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-05",
        "last_updated": "2013-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "1416829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AIDA",
            "last_name": "TAMAROVA",
            "prefix": "MRS.",
            "credential": "TEACHER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2013; 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.