Organization Active NPI

Joseph Taverni M.D. P.C.

  • Physical Medicine & Rehabilitation Physician
  • Great Neck, NY
National Provider Identifier
1912178385
Registry record updated Mar 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
201665 Issued in NY
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

Updated by the provider on Mar 13, 2008

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)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
W39341OtherNYMEDICARE ID - GROUP ID

Other names 1

  • JMS Sports Medicine & Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.