Individual provider Active NPI

Tamara G Bavendam, M.D.

  • Urology Physician
  • New York, NY
National Provider Identifier
1982845087
Registry record updated Mar 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
MD061573L Issued in PA
Practice address
235 E 42ND St
235/4/46
New York, NY 10017-5703
Phone
(212) 733-3936
NPI assigned
Mar 19, 2009
Last updated
Mar 19, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X MD061573L PA Primary

Addresses

Primary practice location

235 E 42ND St
235/4/46
New York, NY 10017-5703

Mailing address

235 E 42ND St
235/4/46
New York, NY 10017-5703
Phone (212) 733-3936

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD061573LPAMDUrology Physician

NPI Registry JSON

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

{
    "created_epoch": "1237420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237420800000",
    "number": "1982845087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 E 42ND ST",
            "address_2": "235/4/46",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100175703",
            "telephone_number": "212-733-3936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 E 42ND ST",
            "address_2": "235/4/46",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100175703",
            "telephone_number": "212-733-3936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAVENDAM",
        "first_name": "TAMARA",
        "middle_name": "G",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-19",
        "last_updated": "2009-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "PA",
            "license": "MD061573L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2009; 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.