Jomel Nieva Tabajonda

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

052384 Issued in NY

Practice address

111 Worth St
New York, NY 10013-4008

Phone

(718) 648-0088

NPI assigned

May 20, 2024

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

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physical Therapy of the City PCGroup PAC ID 8820358484, 77 clinicians

Little Steps 1 IncGroup PAC ID 7618237660, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Little Steps 1 Inc

  • Speech-Language Pathologist
  • Rego Park, NY
  • NPI 1154834893
  Medicare reassignment Care Compare group NPD
• Physical Therapy of the City PC

  • Physical Therapy Clinic/Center
  • Brooklyn, NY
  • NPI 1265940399

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Bienetre Medical PC

  dba Zaya Care

  • Physical Therapist
  • New York, NY
  • NPI 1568037257
  NPD (past)

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

{
    "created_epoch": "1716163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1730928771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16714 UNION TPKE APT 1",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661361",
            "telephone_number": "917-847-8875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 WORTH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134008",
            "telephone_number": "718-648-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABAJONDA",
        "first_name": "JOMEL",
        "middle_name": "NIEVA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-20",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "052384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle L Tabachnick, DNP, FNP-BC
• Ariel Victoria Tabachnik, MD
• Bret Taback, M.D.
• Abtin Tabaee, M.D.,
• Sheida Tabaie, MD
• Rachel Danielle Tabak
• Rostislav Tabak, M.D.
• Halima Tabani, MBBS/MD
• Saniya Anwar Tabani, PH.D.
• Levana Tabanpour, OT

• Physical Therapist in New York, NY
• Providers in New York, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.