Individual provider Active NPI

Tatyana Makarevitch, MA

  • Blind Rehabilitation Specialist/Technologist
  • Little Neck, NY
National Provider Identifier
1528343787
Registry record updated Oct 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Blind Rehabilitation Specialist/TechnologistTaxonomy code 2255R0406X
License
780B Issued in NY
Practice address
3917 Willow PL
Little Neck, NY 11363-1614
Phone
(917) 734-9264
NPI assigned
Oct 19, 2011
Last updated
Oct 21, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Blind Rehabilitation Specialist/Technologist 2255R0406X 780B NY Primary

Addresses

Primary practice location

3917 Willow PL
Little Neck, NY 11363-1614

Mailing address

3917 Willow PL
Little Neck, NY 11363-1614
Phone (917) 734-9264

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
780BNYMDBlind Rehabilitation Specialist/Technologist

NPI Registry JSON

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

{
    "created_epoch": "1318982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319155200000",
    "number": "1528343787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3917 WILLOW PL",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "113631614",
            "telephone_number": "917-734-9264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3917 WILLOW PL",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "113631614",
            "telephone_number": "917-734-9264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKAREVITCH",
        "first_name": "TATYANA",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-19",
        "last_updated": "2011-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255R0406X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Rehabilitation, Blind",
            "state": "NY",
            "license": "780B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2011; 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.