Active NPI
Joseph Taverni M.D. P.C.
- Physical Medicine & Rehabilitation Physician
- Great Neck, NY
National Provider Identifier
1912178385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 201665
- Legal business name
- JOSEPH TAVERNI M.D. P.C.
- Practice address
- 1000 Northern Blvd
Suite 360
Great Neck, NY 11021-5312 - Phone
- (516) 482-7747
- Fax
- (516) 482-7748
- NPI assigned
- Mar 13, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Joseph Patrick Taverni, M.D.
- Title
- President/Physician
- Phone
- (516) 482-7747
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 201665 | NY | Primary |
Addresses
Primary practice location
1000 Northern Blvd
Suite 360
Great Neck, NY 11021-5312
Mailing address
1000 Northern Blvd
Suite 360
Great Neck, NY 11021-5312
Phone (516) 482-7747
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W39341 | Other | NY | MEDICARE ID - GROUP ID |
Other names 1
- JMS Sports Medicine & Physical Therapy
National Provider Directory
National Provider DirectoryLocations
107 Northern Blvd
Ste 206
Great Neck, NY 11021
Phone (516) 829-2016
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205366400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1205366400000",
"number": "1912178385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 NORTHERN BLVD",
"address_2": "SUITE 360",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110215312",
"telephone_number": "516-482-7747",
"fax_number": "516-482-7748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 NORTHERN BLVD",
"address_2": "SUITE 360",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110215312",
"telephone_number": "516-482-7747",
"fax_number": "516-482-7748"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOSEPH TAVERNI M.D. P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-13",
"last_updated": "2008-03-13",
"status": "A",
"authorized_official_last_name": "TAVERNI",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "PATRICK",
"authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
"authorized_official_telephone_number": "516-482-7747",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": "NY",
"license": "201665",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID - GROUP ID",
"identifier": "W39341",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "JMS Sports Medicine & Physical Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Great Neck, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.