Active NPI
Elena Tamarov, M.A.
- Specialist
- Rego Park, NY
National Provider Identifier
1710319231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 761691131
- Practice address
- 63 85 Wodhaven Blvd Apt 5E
Rego Park, NY 11374-3834 - Phone
- (908) 418-2011
- NPI assigned
- Aug 7, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 761691131 | NY | Primary |
| Specialist | 174400000X | 761516131 | NY |
Addresses
Primary practice location
63 85 Wodhaven Blvd Apt 5E
Rego Park, NY 11374-3834
Mailing address
63 85 Wodhaven Blvd Apt 5E
Rego Park, NY 11374-3834
Phone (908) 418-2011
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
| License | State | Type | Specialty |
|---|---|---|---|
| 761516131 | NY | MD | Specialist |
| 761691131 | NY | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375833600000",
"number": "1710319231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "63 85 WODHAVEN BLVD APT 5E",
"city": "REGO PARK",
"state": "NY",
"postal_code": "113743834",
"telephone_number": "908-418-2011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "63 85 WODHAVEN BLVD APT 5E",
"city": "REGO PARK",
"state": "NY",
"postal_code": "113743834",
"telephone_number": "908-418-2011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAMAROV",
"first_name": "ELENA",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-07",
"last_updated": "2013-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "761691131",
"primary": true
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "761516131",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rego Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.