Vincent Dominic Bavaro I, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

6450831 Issued in NY

Practice address

5928 Little Neck Pkwy
1St Floor
Little Neck, NY 11362-2532

Phone

(718) 225-0566

Fax

(718) 224-7544

NPI assigned

Dec 20, 2016

Last updated

Dec 29, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Karat Health, Inc.

  • Behavioral Neurology & Neuropsychiatry Physician
  • Long Island City, NY
  • NPI 1093228801
  NPD (past)
• Samuel Field Ym&Ywha

  • Adult Mental Health Clinic/Center
  • Little Neck, NY
  • NPI 1205862950
  NPD (past)

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

{
    "created_epoch": "1482192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482969600000",
    "number": "1609311190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5928 LITTLE NECK PKWY",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "113622532",
            "telephone_number": "718-224-0566",
            "fax_number": "718-224-7544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5928 LITTLE NECK PKWY",
            "address_2": "1ST FLOOR",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "113622532",
            "telephone_number": "718-225-0566",
            "fax_number": "718-224-7544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAVARO",
        "first_name": "VINCENT",
        "middle_name": "DOMINIC",
        "name_prefix": "Mr.",
        "name_suffix": "I",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-12-20",
        "last_updated": "2016-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "6450831",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6450831",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Avgerinos Chiropractic, P.C.
• Avinya PT PC
• Bak Chiropractic P.C.
• Barbara Eleanor Bartley-Baldwin, LMT
• Dorene Battles, P.A.
• Bayside Orthodontics and Dentofacial Orthopedics, P.C.
• Jeanine Becker, OTR/L
• Believe in Yourself, LCSW, P.C.
• Herman B Berg, MD
• Julia Berger

• Registered Nurse in Little Neck, NY
• Providers in Little Neck, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2016; 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.