JULISSA AMANDA DABOIN
NPI 1942839436
Nurse Practitioner - Family in Long Island City, NY
About Julissa Amanda Daboin NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JULISSA AMANDA DABOIN (NPI 1942839436) is an individual family provider in Long Island City, New York, licensed in New York (345832) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Julissa Amanda Daboin is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11101 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LONG ISLAND CITY, NY 11101
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 Julissa Daboin's NPI number?
The NPI number for Julissa Daboin is 1942839436. It was assigned to this individual provider in the NPPES registry on April 6, 2020.
Where is Julissa Daboin located?
Julissa Daboin practices at 3030 47th Ave Ste 635, Long Island City, NY 11101. The listed phone number is (718) 472-1999.
What is Julissa Daboin's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Julissa Daboin enrolled in Medicare?
Yes. Julissa Daboin is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Julissa Daboin was last updated on April 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Julissa Amanda Daboin · NPI 1942839436
Family physician in Long Island City, New York. Individual provider, active in the CMS NPPES registry since April 6, 2020.
## Identity
- **NPI:** 1942839436 (Entity type: Individual)
- **Enumerated:** April 6, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 345832 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 3030 47TH AVE STE 635, Long Island City, NY 11101-3433
- **Phone:** (718) 472-1999
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** April 6, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1942839436) · Data from the CMS NPPES public registry.