Seniorstat Psychiatric PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

SENIORSTAT PSYCHIATRIC PC

Practice address

891 Northern Blvd Ste 201
Great Neck, NY 11021-5305

Phone

(516) 829-5483

Fax

(516) 829-5403

NPI assigned

Dec 8, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Nancy Talavera, MD

Title

Owner

Phone

(718) 604-5037

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vadim Y Korol, NP

  • Adult Health Nurse Practitioner
  • Franklin Square, NY
  • NPI 1417033812
  Medicare reassignment
• Tomasz Wojciech Kowacz, MD

  • Psychiatry Physician
  • Brooklyn, NY
  • NPI 1063436798
  NPD (past)
• Irena Roitgarts, LCSW-R

  • Clinical Social Worker
  • Forest Hills, NY
  • NPI 1326058942
  NPD (past)
• Margaret Fasano, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Daytona Beach, FL
  • NPI 1417109919
  NPD (past)
• Kevin Boyd Siewers, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Denville, NJ
  • NPI 1215056221
  NPD (past)

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223251200000",
    "number": "1497814933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 SUNSET RD S",
            "city": "ALBERTSON",
            "state": "NY",
            "postal_code": "115071149",
            "telephone_number": "718-604-5037",
            "fax_number": "718-363-6630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "891 NORTHERN BLVD STE 201",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215305",
            "telephone_number": "516-829-5483",
            "fax_number": "516-829-5403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIORSTAT PSYCHIATRIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2008-10-06",
        "status": "A",
        "authorized_official_last_name": "TALAVERA",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-604-5037",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02105604",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jose Luis Seligson, M.D.
• Sasha Selim
• Jenna Selzer, CCC-SLP
• Kimi Semder, MS
• Egbert Rollorata Sencio, PT
• Nirmala Senthilkumar, M.D
• Sara H Seo, DDS
• Seolhee Kang Acupuncture, P.C.
• Gerald Septimus, PH.D.
• Michael Setzen, M.D.

• Psychiatry Physician in Great Neck, NY
• Providers in Great Neck, 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 Oct 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.