Individual provider Active NPI

Nancy Talavera, MD

  • Psychiatry Physician
  • Brooklyn, NY
National Provider Identifier
1861488959
Registry record updated Apr 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
186602 Issued in NY
Practice address
450 Clarkson Ave # NS52
Brooklyn, NY 11203-2012
Phone
(718) 270-2003
NPI assigned
Sep 23, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 186602 NY Primary

Addresses

Primary practice location

450 Clarkson Ave # NS52
Brooklyn, NY 11203-2012

Mailing address

135 Eastern Pkwy Apt 10L
Brooklyn, NY 11238-6071
Phone (718) 312-2241

Other practice location 1

34 Plaza St E Apt 104
Brooklyn, NY 11238-5038
Phone (718) 312-2241

Other identifiers 4

IdentifierTypeStateIssuer
186602-B16OtherNYHEALTH FIRST
P1114582OtherNYOXFORD PROVIDER
01633009MedicaidNY
282381OtherNYMHN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nancy.talavera@downstate.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040617001625 NY Practitioner - PsychiatryPractitioner - Geriatric Psychiatry 0345224085 Reassigns benefits to 3 organizations
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
186602NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Physicians of Brooklyn, Inc. Current Accepting new patients
University Physicians of Brooklyn, Inc. CurrentSince Feb 23, 2019 Accepting new patients
Maimonides Faculty Practice Plan CurrentSince Jul 24, 2019 Accepting new patients
University Physicians of Brooklyn Psychiatry CurrentSince Feb 23, 2019 Accepting new patients
Maimonides Medical Center Current Accepting new patients
Anesthesiology Associates of Boro Park, LLP Past Accepting new patients
University Physicians of Brooklyn, Inc Past Accepting new patients
MMC OB-GYN Faculty Practice Plan Past Accepting new patients
Downstate Mental Hygiene Associates Past Accepting new patients

Locations

4802 10th Ave
#C
Brooklyn, NY 11219
Phone (718) 283-8163

374 Stockholm St
Brooklyn, NY 11237
Phone (718) 963-6485

450 Clarkson Ave
Brooklyn, NY 11203
Phone (718) 270-1603

450 Clarkson Ave
#80
Brooklyn, NY 11203
Phone (718) 613-8481

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

585 Schenectady Ave
Brooklyn, NY 11203
Phone (718) 604-0461

450 Clarkson Ave
#52
Brooklyn, NY 11203
Phone (718) 270-1584

4915 10th Ave
Brooklyn, NY 11219
Phone (718) 851-3700

Interoperability endpoints

  • Direct secure messaging: nancytalavera@mai.allscriptsdirect.net

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556236800000",
    "number": "1861488959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 EASTERN PKWY APT 10L",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112386071",
            "telephone_number": "718-312-2241",
            "fax_number": "347-402-2249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 CLARKSON AVE # NS52",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032012",
            "telephone_number": "718-270-2003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34 Plaza St E Apt 104",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112385038",
            "country_code": "US",
            "telephone_number": "718-312-2241",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TALAVERA",
        "first_name": "NANCY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-23",
        "last_updated": "2019-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "186602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH FIRST",
            "identifier": "186602-B16",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD PROVIDER",
            "identifier": "P1114582",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01633009",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "282381",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nancy.talavera@downstate.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "450 Clarkson Ave # Ns52",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112032012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.