Rosaanabela Renaud Tavares, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

229357 Issued in NY

Practice address

682 Union Ave
Westbury, NY 11590-3552

Phone

(516) 571-9500

Fax

(516) 571-9557

NPI assigned

Apr 20, 2006

Last updated

Oct 31, 2021By the provider in NPPES

Sex

Female

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• The New York and Presbyterian Hospital

  dba New-York-Presbyterian Pharmacy

  • Community/Retail Pharmacy
  • White Plains, NY
  • NPI 1457057226
  NPD (past)
• The New York and Presbyterian Hospital

  dba Ambulatory Care Network

  • Nutritionist
  • New York, NY
  • NPI 1891857025

  Family Medicine

  NPD (past)
• Beth Israel Deaconess Medical Center, Inc.

  • General Acute Care Hospital
  • Boston, MA
  • NPI 1548202641
  NPD (past)

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635638400000",
    "number": "1649235516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17821 DALNY RD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114323037",
            "telephone_number": "646-942-6518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "682 UNION AVE",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115903552",
            "telephone_number": "516-571-9500",
            "fax_number": "516-571-9557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAVARES",
        "first_name": "ROSAANABELA",
        "middle_name": "RENAUD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-20",
        "last_updated": "2021-10-31",
        "certification_date": "2021-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "229357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02733168",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART B",
            "identifier": "A400221010",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Desirie Sykes
• Rheka Sylvestre
• Annaliese Szeli
• Carrie Tallman, LCSW
• Moses Ashu Tambe, M.D.
• Alexandria Marie Taveras-Bradley
• Jessica Taveras
• Lakisha Taylor
• Olusola Taylor, LPN
• Sonia Isabel Taylor, RN

• Family Medicine Physician in Westbury, NY
• Providers in Westbury, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2021; 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.