Fernando Taveras, Md Pc | |
629 W 185th St Suite 3 New York NY 10033 | |
(212) 928-3900 | |
(212) 740-1731 |
Full Name | Fernando Taveras, Md Pc |
---|---|
Speciality | Psychiatry & Neurology |
Location | 629 W 185th St, New York, New York |
Authorized Official Name and Position | Fernando T Taveras (PSYCHIATRY) |
Authorized Official Contact | 2129283900 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Fernando Taveras, Md Pc 130 Irving St Leonia NJ 07605-1229 Ph: (201) 585-8990 | Fernando Taveras, Md Pc 629 W 185th St Suite 3 New York NY 10033 Ph: (212) 928-3900 |
NPI Number | 1659578839 |
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Provider Enumeration Date | 06/29/2007 |
Last Update Date | 03/07/2023 |
Medicare PECOS PAC ID | 7416930078 |
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Medicare Enrollment ID | O20040612000617 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659578839 | NPI | - | NPPES |
1076790 | Other | NY | AFFINITY HEALTH ID |
213401-01 | Other | NY | MEDICAL LICENSE NUMBER |
21340101 | Other | NY | NEIGHBORHOOD PROVIDER ID |
01978243 | Medicaid | NY | |
98P5411 | Other | NY | NY PRESBYTARIAN HEALTH ID |
03331968 | Medicaid | NY | |
213401-A26 | Other | NY | HEALTH FIRST PROVIDER ID |
0000213401-01 | Other | NY | COMMUNITY PREMIER PLUS ID |
N376961 | Other | NY | WELLCARE PROVIDER ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 213401-01 (New York) | Primary |
Provider Name | Fernando T Taveras |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1194769067 PECOS PAC ID: 0547243115 Enrollment ID: I20040628000951 |
Provider Name | Edwin L Cueva |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1952319261 PECOS PAC ID: 3870546146 Enrollment ID: I20050226000035 |
Provider Name | Giovanny M Nunez |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1760426118 PECOS PAC ID: 3476588203 Enrollment ID: I20050930000077 |
Provider Name | Leonardo Vando |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1225007271 PECOS PAC ID: 5597771444 Enrollment ID: I20060301000523 |
Provider Name | Larry M Neuman |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1992907539 PECOS PAC ID: 2961579321 Enrollment ID: I20110113000431 |
Provider Name | Yvanka L Pachas |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1376694885 PECOS PAC ID: 8921284787 Enrollment ID: I20110512000732 |
Provider Name | Jeannette R Guzman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982957569 PECOS PAC ID: 7618120064 Enrollment ID: I20130114000484 |
Provider Name | Bebsy Estefan |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1851559900 PECOS PAC ID: 6406096270 Enrollment ID: I20130628000436 |
Provider Name | Jose Cabassa |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1760526164 PECOS PAC ID: 1355583097 Enrollment ID: I20130809000245 |
Provider Name | Allison Arce |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1467865212 PECOS PAC ID: 9335364769 Enrollment ID: I20140627000639 |
Provider Name | Elba Antonia Bello |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1841460300 PECOS PAC ID: 1153463534 Enrollment ID: I20170111002171 |
Provider Name | Khandia Geronimo |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1730523366 PECOS PAC ID: 0648534859 Enrollment ID: I20180515002371 |
Provider Name | Dabeyri Torres-estevez |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1871982959 PECOS PAC ID: 8729318506 Enrollment ID: I20190920000392 |
Provider Name | Candida Cartagena |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1467880492 PECOS PAC ID: 8426491028 Enrollment ID: I20240212000635 |
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