Active NPI
Tiffany Michelle Luongo, FNP, RN
- Family Nurse Practitioner
- Cambridge, MA
National Provider Identifier
1013470194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN2289065
- Practice address
- 36 White St
Cambridge, MA 02140-1449 - Phone
- (617) 876-5519
- NPI assigned
- Apr 7, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 11
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 4053510 | KY | |
| General Practice Registered Nurse | 163WG0000X | 116074-21 | NH | |
| Registered Nurse | 163W00000X | RN500339213 | DC | |
| Family Nurse Practitioner | 363LF0000X | 0040823 | OH | |
| Registered Nurse | 163W00000X | RN2289065 | MA | |
| Family Nurse Practitioner | 363LF0000X | RN2289065 | MA | Primary |
| Nurse Practitioner | 363L00000X | LG-0013587 | DE | |
| Family Nurse Practitioner | 363LF0000X | 116074-21 | NH | |
| Nurse Practitioner | 363L00000X | 11043606 | FL | |
| Family Nurse Practitioner | 363LF0000X | NP500339213 | DC | |
| Family Nurse Practitioner | 363LF0000X | CNP251816 | ME |
Addresses
Primary practice location
36 White St
Cambridge, MA 02140-1449
Mailing address
36 White Street
Cambridge, MA 02140-1449
Phone (617) 876-5519
Other practice location 1
4961 Roberts Rd
Hilliard, OH 43026-8129
Phone (866) 389-2727
Other names 1
- Ms. Tiffany Michelle Paolillo
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, OH, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4961 Roberts Rd
Hilliard, OH 43026-8129
Phone (866) 389-2727
85 High St
Medford, MA 02155-3825
Phone (866) 389-2727
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN500339213 | DC | MD | Registered Nurse |
| RN2289065 | MA | MD | Registered Nurse |
| 116074-21 | NH | MD | General Practice Registered Nurse |
| LG-0013587 | DE | MD | Nurse Practitioner |
| 11043606 | FL | MD | Nurse Practitioner |
| 4053510 | KY | MD | Nurse Practitioner |
| NP500339213 | DC | MD | Family Nurse Practitioner |
| CNP251816 | ME | MD | Family Nurse Practitioner |
| 0040823 | OH | MD | Family Nurse Practitioner |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Nurse Practitioner
- Medway, MA
- NPI 1457470858
-
- Family Nurse Practitioner
- Hilliard, OH
- NPI 1699747303
-
- Family Nurse Practitioner
- Washington, DC
- NPI 1063644466
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773187200000",
"number": "1013470194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36 WHITE STREET",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021401449",
"telephone_number": "617-876-5519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36 WHITE ST",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021401449",
"telephone_number": "617-876-5519"
}
],
"practiceLocations": [
{
"address_1": "4961 Roberts Rd",
"address_purpose": "LOCATION",
"city": "Hilliard",
"state": "OH",
"postal_code": "430268129",
"country_code": "US",
"telephone_number": "866-389-2727",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LUONGO",
"first_name": "TIFFANY",
"middle_name": "MICHELLE",
"name_prefix": "Mrs.",
"credential": "FNP, RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-07",
"last_updated": "2026-03-11",
"certification_date": "2026-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KY",
"license": "4053510",
"primary": false
},
{
"code": "163WG0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, General Practice",
"state": "NH",
"license": "116074-21",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "DC",
"license": "RN500339213",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "0040823",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MA",
"license": "RN2289065",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MA",
"license": "RN2289065",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "DE",
"license": "LG-0013587",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NH",
"license": "116074-21",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "11043606",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "DC",
"license": "NP500339213",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "ME",
"license": "CNP251816",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TIFFANY",
"last_name": "PAOLILLO",
"middle_name": "MICHELLE",
"prefix": "MS.",
"credential": "FNP, RN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Cambridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.