Vito Frank Taverna, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

156618 Issued in NY

Practice address

6062 Palmetto St
Ridgewood, NY 11385-3241

Phone

(718) 821-4443

Fax

(718) 821-5785

NPI assigned

Jan 23, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8825/brand/4/csg/1/fhir/r4

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.

• Pension Committee Joint Industry Board

  • Clinic/Center
  • Flushing, NY
  • NPI 1033265095
  NPD (past)
• Regional Physician Services, PC

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1508857343
  NPD (past)

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453161600000",
    "number": "1912052994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6062 PALMETTO ST",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113853241",
            "telephone_number": "718-821-4443",
            "fax_number": "718-821-5785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6062 PALMETTO ST",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113853241",
            "telephone_number": "718-821-4443",
            "fax_number": "718-821-5785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAVERNA",
        "first_name": "VITO",
        "middle_name": "FRANK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2016-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "156618",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00845547",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle Valerie Albeos Tabel-Casio, PT
• Sherin Tadros
• Medhat Kamal Tadrous
• Alvaro Tamayo Gutierrez, M.D.
• Liza Tan, PT, DPT, MA
• Phillip Austin Taylor
• Chanel Viviana Tazza, LMHC
• Stela Teferici, MD
• Rachel Michelle Teichman
• Nino Tevdorashvili, LMHC

• Internal Medicine Physician in Ridgewood, NY
• Providers in Ridgewood, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.