Tami L Pucino, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F334835 Issued in NY

Practice address

3548 US Highway 9W
Highland, NY 12528

Phone

(845) 541-9840

Fax

(323) 375-3799

NPI assigned

Oct 25, 2006

Last updated

Nov 5, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Tami L Bergman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nuvance Health Medical Practice PC

  • Internal Medicine Physician
  • Poughkeepsie, NY
  • NPI 1437358033
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572912000000",
    "number": "1023192770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3548 US HIGHWAY 9W",
            "city": "HIGHLAND",
            "state": "NY",
            "postal_code": "125281700",
            "telephone_number": "845-541-9840",
            "fax_number": "323-375-3799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3548 US HIGHWAY 9W",
            "city": "HIGHLAND",
            "state": "NY",
            "postal_code": "12528",
            "telephone_number": "845-541-9840",
            "fax_number": "323-375-3799"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "243 North Rd",
            "address_2": "Suite 103",
            "address_purpose": "LOCATION",
            "city": "Poughkeepsie",
            "state": "NY",
            "postal_code": "12601",
            "country_code": "US",
            "telephone_number": "845-454-0728",
            "fax_number": "845-452-5807",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PUCINO",
        "first_name": "TAMI",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2019-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F334835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03017287",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMI",
            "last_name": "BERGMAN",
            "middle_name": "L",
            "credential": "NP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Angelynn Flay Pinto, PSYD
• Raymond J Poluzzi LLL, RPH
• Lois B Pomeroy, LCSW
• Prasanth Prasanna Saswathan
• Professional Speech and Language Associates, PLLC
• Joseph Pugliese
• Lisa A. Quimby, M.S. SPECIAL ED.
• Linda Righi Quinlan, LCSW
• Lawrence John Quintiliani
• Amy Raab, MS-SLP

• Family Nurse Practitioner in Highland, NY
• Providers in Highland, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.