MRS. EVA M. TACZANOWSKI BERSIN P.A.
NPI 1164703872
Physician Assistant - Surgical in Great Neck, NY

Active since September 08, 2011PECOS Enrolled
833 NORTHERN BLVD, GREAT NECK, NY 11021(516) 498-8400(516) 498-8404 Get Directions Write a Review

NPPES record last updated: September 8, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Eva M. Taczanowski Bersin P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. EVA M. TACZANOWSKI BERSIN P.A. (NPI 1164703872) is an individual surgical provider in Great Neck, New York, licensed in New York (005719-1) and active in the NPI registry since September 2011. She is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1164703872
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMRS. EVA M. TACZANOWSKI BERSINCredential: P.A.
Location Address833 NORTHERN BLVDGreat Neck, NY 11021-5315
Mailing Address2a Joel PlPort Washington, NY 11050-3442 · (516) 944-4009 · Fax (516) 944-4009
Fax(516) 498-8404
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateSeptember 8, 2011
NPI 1164703872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in NY · 005719-1
833 NORTHERN BLVD, Great Neck, NY 11021

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mrs. Eva M. Taczanowski Bersin P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5799277687
PECOS Enrollment IDI20251128000333
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Otolaryngology
833 NORTHERN BLVD, STE 260
GREAT NECK, NY 11021
Plastic Surgery
833 NORTHERN BLVD, STE 160
GREAT NECK, NY 11021
Psychiatry & Neurology (Neurology)
833 NORTHERN BLVD, SUITE 210
GREAT NECK, NY 11021
Pediatrics
833 NORTHERN BLVD, SUITE 140
GREAT NECK, NY 11021
Obstetrics & Gynecology (Maternal & Fetal Medicine)
833 NORTHERN BLVD, SUITE 100
GREAT NECK, NY 11021
Orthopaedic Surgery
833 NORTHERN BLVD, SUITE 220
GREAT NECK, NY 11021
Clinic/Center
833 NORTHERN BLVD, SUITE 115
GREAT NECK, NY 11021
Plastic Surgery
833 NORTHERN BLVD, SUITE 110
GREAT NECK, NY 11021

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eva Taczanowski Bersin's NPI number?

The NPI number for Eva Taczanowski Bersin is 1164703872. It was assigned to this individual provider in the NPPES registry on September 8, 2011.

Where is Eva Taczanowski Bersin located?

Eva Taczanowski Bersin practices at 833 Northern Blvd, Great Neck, NY 11021. The listed phone number is (516) 498-8400.

What is Eva Taczanowski Bersin's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Eva Taczanowski Bersin enrolled in Medicare?

Yes. Eva Taczanowski Bersin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Eva Taczanowski Bersin was last updated on September 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.