Emely Tavarez

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

027399-01 Issued in NY

Practice address

500 Courtlandt Ave
Bronx, NY 10451-5032

Phone

(347) 210-2963

NPI assigned

Dec 5, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Balanced Body Rehabilitation LLC

  • Physical Therapist
  • Tenafly, NJ
  • NPI 1740690627
  Medicare reassignment NPD

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

{
    "created_epoch": "1670198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670198400000",
    "number": "1912618547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 STONE AVE",
            "city": "ELMWOOD PARK",
            "state": "NJ",
            "postal_code": "074071154",
            "telephone_number": "551-795-2164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 COURTLANDT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104515032",
            "telephone_number": "347-210-2963"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "60 Stone Ave",
            "address_purpose": "LOCATION",
            "city": "Elmwood Park",
            "state": "NJ",
            "postal_code": "074071154",
            "country_code": "US",
            "telephone_number": "551-795-2164",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAVAREZ",
        "first_name": "EMELY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-05",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR01090700",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "027399-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://sesis.nycenet.edu/userhome.aspx",
            "affiliation": "N",
            "address_1": "500 Courtlandt Ave",
            "city": "Bronx",
            "state": "NY",
            "country_code": "US",
            "postal_code": "104515032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sara Altagracia Tavarez Rodriguez, MD
• Digna Francia Tavarez Sanchez, FNP-C
• Andrys Tavarez
• Angela Tavarez
• Delilah Tavarez, LMSW
• Eunelcy Carolina Tavarez
• Franchesca Josefina Tavarez, NP
• Heliana A Tavarez, LCSW
• Nadely Tavarez
• Rafaela Y Tavarez, LMSW

• Occupational Therapist in Bronx, NY
• Providers in Bronx, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.