Individual provider Active NPI

Tamari Gabedava

  • Family Nurse Practitioner
  • Bronx, NY
National Provider Identifier
1285435354
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F356028-01 Issued in NY
Practice address
2510 Westchester Ave Ste 208
Bronx, NY 10461-3585
Phone
(646) 530-8447
NPI assigned
Mar 24, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F356028-01 NY Primary

Addresses

Primary practice location

2510 Westchester Ave Ste 208
Bronx, NY 10461-3585

Mailing address

2510 Westchester Ave Ste 208
Bronx, NY 10461-3585
Phone (646) 530-8447

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
I20250917003483 NY Practitioner - Nurse Practitioner 0244734895 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

271 Golden Gate Ave
Oradell, NJ 07649-2219

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kezmed Medical PC CurrentSince Jul 11, 2025 Accepting new patients
Montefiore Medical Center PastSince Mar 30, 2025 Accepting new patients

Locations

2510 Westchester Ave
Ste 208
Bronx, NY 10461
Phone (646) 530-8447

1963 Williamsbridge Rd
Bronx, NY 10461
Phone (646) 530-8447

129 Wadsworth Ave
Apt 3
New York, NY 10033
Phone (212) 923-0505

Organizations & group practices 2

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": "1742774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1285435354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 WESTCHESTER AVE STE 208",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104613585",
            "telephone_number": "646-530-8447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 WESTCHESTER AVE STE 208",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104613585",
            "telephone_number": "646-530-8447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABEDAVA",
        "first_name": "TAMARI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-24",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F356028-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.