Talley Dabakarov, AU.D. CCC-A

Primary specialty

AudiologistTaxonomy code 231H00000X

License

002215-1 Issued in NY

Practice address

11919 Jamaica Ave
Jamaica, NY 11418-2512

Phone

(917) 751-8455

NPI assigned

Dec 30, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Networks

• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H5989

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.

• Sounds Good Audiology Services PLLC

  • Health Maintenance Organization
  • Jamaica, NY
  • NPI 1760827505
  NPD (past) Authorized official

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

{
    "created_epoch": "1230595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389225600000",
    "number": "1639315336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11919 JAMAICA AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114182512",
            "telephone_number": "917-751-8455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11919 JAMAICA AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114182512",
            "telephone_number": "917-751-8455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DABAKAROV",
        "first_name": "TALLEY",
        "credential": "AU.D. CCC-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-30",
        "last_updated": "2014-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "002215-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gaitri D'Amico, PA
• Margaret A D'Andrea, PA
• Gianna Elise D'Angelo, MS
• Jamilah Da Costa
• Da Sunshine
• Amy Dabo
• Ivonne Dabovich, C.M.
• Susan Nadine Dacres- Clarke, FNP
• Elsie Naomi Dacruz, LMHC
• Carline Dade

• Audiologist in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Audiologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2014; 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.