Active NPI
Phyllis A Tarallo, DNP,DCC,FNP-C
- Family Nurse Practitioner
- Teaneck, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 26NJ00125100
- Practice address
- 718 Teaneck Rd
Teaneck, NJ 07666-4245 - Phone
- (212) 305-0448
- Fax
- (212) 342-5600
- NPI assigned
- Jul 1, 2005
- Last updated
- Feb 3, 2025
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 333859 | NY | |
| Primary Care Nurse Practitioner | 363LP2300X | 333859 | NY | |
| Women's Health Nurse Practitioner | 363LW0102X | 333859 | NY | |
| Family Nurse Practitioner | 363LF0000X | 26NJ00125100 | NJ | Primary |
Addresses
Primary practice location
718 Teaneck Rd
Teaneck, NJ 07666-4245
Mailing address
PO Box 27036
New York, NY 10087-7036
Phone (212) 305-0914
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0269026 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1163 Rte 37
Suite A2
Toms River, NJ 08755-4974
Phone (732) 961-0010
475 Hwy 70
Suite 101
Lakewood, NJ 08701-5897
Phone (732) 364-8000
67 Hwy 37 W
Toms River, NJ 08755-6400
67 Rte 37
Toms River, NJ 08755-6400
94 Old Short Hills Rd
Livingston, NJ 07039-5672
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.53 of 100
- Quality
- 50.37
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.22
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002915 | CT | MD | Clinical Social Worker |
| 26NJ00125100 | NJ | MD | Family Nurse Practitioner |
| 333859 | NY | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barnabas Health Medical Group PC | Current | Accepting new patients | |
| Regional Cancer Care Associates LLC | Current | Accepting new patients | |
| Regional Cancer Care Associates LLC | Current | Accepting new patients | |
| Barnabas Health Medical Group PC | Current | Accepting new patients | |
| The Trustees of Columbia University in the City of New York | Family | Past | Accepting new patients |
| Icahn School of Medicine at Mount Sinai | Past | Accepting new patients | |
| St Lukes Roosevelt Hospital Center | Past | Accepting new patients |
Locations
350 Engle St
Fl 6
Englewood, NJ 07631
Phone (201) 568-5250
25 Main St
Ste 601
Hackensack, NJ 07601
Phone (201) 510-0910
30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066
57 Kent Rd
Howell, NJ 07731
Phone (732) 364-1505
355 Grand St
Jersey City, NJ 07302
Phone (201) 915-2224
475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000
94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400
175 Madison Ave
Mount Holly, NJ 08060
Phone (609) 261-1660
718 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 833-3232
67 Route 37 W
Fl 2
Toms River, NJ 08755
Phone (732) 281-3373
99 State Route 37 W
Toms River, NJ 08755
Phone (732) 240-8000
Organizations & group practices 7
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.
-
- Specialist
- Elizabeth, NJ
- NPI 1841557246
-
- Hematology & Oncology Physician
- Toms River, NJ
- NPI 1801850243
-
- Durable Medical Equipment & Medical Supplies
- Hackensack, NJ
- NPI 1316772668
-
- Hematology & Oncology Physician
- Belleville, NJ
- NPI 1447315502
-
dba OB/GYN Department of Mount Sinai SLR
- Obstetrics & Gynecology Physician
- New York, NY
- NPI 1922411065
-
dba GYN Oncology of SLR
- Gynecologic Oncology Physician
- New York, NY
- NPI 1992701205
-
- Surgery Physician
- New York, NY
- NPI 1265598783
Family
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Toms River, NJ
- NPI 1013010917
-
dba Monmouth Medical Center Southern Campus
- General Acute Care Hospital
- Lakewood, NJ
- NPI 1225133473
-
- General Acute Care Hospital
- Long Branch, NJ
- NPI 1609983790
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738540800000",
"number": "1043217300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 27036",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100877036",
"telephone_number": "212-305-0914",
"fax_number": "212-305-4343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "718 TEANECK RD",
"city": "TEANECK",
"state": "NJ",
"postal_code": "076664245",
"telephone_number": "212-305-0448",
"fax_number": "212-342-5600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TARALLO",
"first_name": "PHYLLIS",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DNP,DCC,FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-01",
"last_updated": "2025-02-03",
"certification_date": "2025-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "333859",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "NY",
"license": "333859",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "NY",
"license": "333859",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NJ",
"license": "26NJ00125100",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0269026",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Teaneck, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; 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.