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TATIANA DAVYDOVA PAC
NPI 1316644677
Physician Assistant in Brooklyn, NY

Active since February 07, 2023PECOS Enrolled
2792 OCEAN AVE FL 2, BROOKLYN, NY 11229(833) 635-2566 Get Directions Write a Review

NPPES record last updated: December 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 1, 2025, Sep 6, 2025, Feb 7, 2023 (3 updates tracked since 2023).

About Tatiana Davydova Pac NPPES

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

TATIANA DAVYDOVA PAC (NPI 1316644677) is an individual physician assistant in Brooklyn, New York, licensed in New York (029268) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1316644677
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameTATIANA DAVYDOVACredential: PAC
Location Address2792 OCEAN AVE FL 2Brooklyn, NY 11229-4731
Mailing Address2792 Ocean Ave Fl 2Brooklyn, NY 11229-4731 · (833) 635-2566 · Fax (833) 635-2566
Phone(833) 635-2566
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateFebruary 7, 2023
Last NPPES UpdateDecember 1, 20253 updates tracked since enumeration
NPPES CertifiedDecember 1, 2025
✔ NPI 1316644677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 029268
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2792 OCEAN AVE FL 2, Brooklyn, NY 11229
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Other Identifiers 1

Medicaid7658395NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tatiana Davydova Pac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7012372980
PECOS Enrollment IDI20230427002282
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11229 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

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

DR. JOSEPH IWANICKI M.D.
Obstetrics & Gynecology
2792 OCEAN AVE FL 2
BROOKLYN, NY 11229
Kings County (833) 635-2566
JI MEDICAL PC
Clinic/Center
2792 OCEAN AVE FL 2
BROOKLYN, NY 11229
Kings County (917) 855-0007
D & A MEDICAL CARE PLLC
Pediatrics
2792 OCEAN AVE FL 2
BROOKLYN, NY 11229
Kings County (718) 676-2566
JI MEDICAL PC
Clinic/Center (Medical Specialty)
2792 OCEAN AVE FL 2
BROOKLYN, NY 11229
Kings County (917) 855-0007
MRS. JANE Y LEVITT PA
Physician Assistant
2792 OCEAN AVE FL 2
BROOKLYN, NY 11229
Kings County (833) 635-2566
DANNY BRONSHTEIN ADULT HEALTH NP PC
Nurse Practitioner (Primary Care)
2792 OCEAN AVE FL 2
BROOKLYN, NY 11229
Kings County (833) 635-2566
RITA TSIPEN PA-C
Physician Assistant
2792 OCEAN AVE FL 2
BROOKLYN, NY 11229
Kings County (833) 635-2566

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 Tatiana Davydova's NPI number?

The NPI number for Tatiana Davydova is 1316644677. It was assigned to this individual provider in the NPPES registry on February 7, 2023.

Where is Tatiana Davydova located?

Tatiana Davydova practices at 2792 Ocean Ave Fl 2, Brooklyn, NY 11229. The listed phone number is (833) 635-2566.

What is Tatiana Davydova's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Tatiana Davydova enrolled in Medicare?

Yes. Tatiana Davydova is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tatiana Davydova was last updated on December 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.