Fernando Taveras, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

213401 Issued in NY

Practice address

629 W 185TH St
Suite 3
New York, NY 10033

Phone

(212) 543-3500

NPI assigned

Jun 15, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Other, 1981

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Fernando Taveras, MD PCGroup PAC ID 7416930078, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CCBDDD/Endpoint/CCBDDD
• FHIR API: https://fhir4.healow.com/fhir/r4/BJHFCA/Endpoint/BJHFCA

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.

• Fernando Taveras, MD PC

  • Psychiatry Physician
  • New York, NY
  • NPI 1659578839
  Medicare reassignment Care Compare group NPD Authorized official
• Mih Experience LTD

  • Addiction (Substance Use Disorder) Counselor
  • New York, NY
  • NPI 1124423520
  Medicare reassignment NPD Authorized official
• Groupo Medico Dominicano PLLC

  • Interventional Cardiology Physician
  • New York, NY
  • NPI 1679646061
  NPD Authorized official
• Trustees of Columbia University in Department of Psychiatry

  • Psychiatry Physician
  • New York, NY
  • NPI 1619911526
  NPD (past)

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530057600000",
    "number": "1194769067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 W 185TH ST",
            "address_2": "SUITE 3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100333102",
            "telephone_number": "212-543-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 W 185TH ST",
            "address_2": "SUITE 3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10033",
            "telephone_number": "212-543-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAVERAS",
        "first_name": "FERNANDO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2018-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "213401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01978243",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ivette Taveras-Ozoria
• Ailin D Taveras I, CASAC-T
• Altagracia Taveras, R.N.
• Andrea Taveras
• Diana Taveras
• Hanna Taveras
• Jaydee Taveras
• Jennifer Chellis Taveras, L.AC.
• Kareilyn Taveras, RN
• Katherine Taveras, LCSW-R

• Psychiatry Physician in New York, NY
• Providers in New York, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2018; 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.