Tatyana Taver, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

F304104-1 Issued in NY

Practice address

2195 E 22ND St
Brooklyn, NY 11229-3656

Phone

(718) 648-4545

NPI assigned

Apr 10, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Healthway Medical P.C.

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1720058563
  Medicare reassignment NPD
• MJHS Medical Associates

  • Internal Medicine Physician
  • New York, NY
  • NPI 1013208602
  Medicare reassignment NPD

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535414400000",
    "number": "1508829474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2044 W 9TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112233627",
            "telephone_number": "347-203-5557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2195 E 22ND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112293656",
            "telephone_number": "718-648-4545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAVER",
        "first_name": "TATYANA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-10",
        "last_updated": "2018-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NY",
            "license": "F340541-1",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F304104-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02614359",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ina Tavberidze
• Michael Tavdy, M.D.
• Amy Taveira
• Rachel Tavel, D.P.T.
• Marina Taver, M.D.
• Alexa Taveras-Gomez, LCSW
• Barbara A. Taveras, LMSW
• Claribel Taveras
• Edwin Taveras
• Glenny Taveras, MSW

• Nurse Practitioner in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.