DANIELLA TAVARES
NPI 1962010447
Physician Assistant in Hackensack, NJ
About Daniella Tavares NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DANIELLA TAVARES (NPI 1962010447) is an individual physician assistant in Hackensack, New Jersey, licensed in New York (025366) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Bronx, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Daniella Tavares is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
HACKENSACK, NJ 07601
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 Daniella Tavares's NPI number?
The NPI number for Daniella Tavares is 1962010447. It was assigned to this individual provider in the NPPES registry on July 21, 2020.
Where is Daniella Tavares located?
Daniella Tavares practices at 30 Prospect Ave, Hackensack, NJ 07601. The listed phone number is (551) 996-2000.
What is Daniella Tavares's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Daniella Tavares enrolled in Medicare?
Yes. Daniella Tavares is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Daniella Tavares was last updated on November 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Daniella Tavares · NPI 1962010447
Physician Assistant physician in Hackensack, New Jersey. Individual provider, active in the CMS NPPES registry since July 21, 2020.
## Identity
- **NPI:** 1962010447 (Entity type: Individual)
- **Enumerated:** July 21, 2020
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 025366 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 30 PROSPECT AVE, Hackensack, NJ 07601-1915
- **Phone:** (551) 996-2000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** November 25, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1962010447) · Data from the CMS NPPES public registry.