Individual provider Active NPI

Ashdin Tavaria, M.D.

  • General Acute Care Hospital
  • Elizabeth, NJ
National Provider Identifier
1831343748
Registry record updated Nov 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Practice address
330 W Jersey St
Apt #10-O
Elizabeth, NJ 07202-1884
Phone
(347) 563-7511
NPI assigned
Nov 5, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

330 W Jersey St
Apt #10-O
Elizabeth, NJ 07202-1884

Mailing address

330 W Jersey St
Apt #10-O
Elizabeth, NJ 07202-1884
Phone (347) 563-7511

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
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1225843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225843200000",
    "number": "1831343748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 W JERSEY ST",
            "address_2": "APT #10-O",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072021884",
            "telephone_number": "347-563-7511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 W JERSEY ST",
            "address_2": "APT #10-O",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072021884",
            "telephone_number": "347-563-7511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAVARIA",
        "first_name": "ASHDIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-05",
        "last_updated": "2008-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2008; 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.