Individual provider Active NPI

Janice Chandra Tara, ANP

  • Adult Health Nurse Practitioner
  • Elmont, NY
National Provider Identifier
1043552797
Registry record updated Mar 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
#A1212034 Issued in NY
Practice address
3 Heathcote Rd
3
Elmont, NY 11003
Phone
(516) 328-9843
NPI assigned
Mar 20, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X #A1212034 NY Primary

Addresses

Primary practice location

3 Heathcote Rd
3
Elmont, NY 11003

Mailing address

3 Heathcote Rd
Elmont
Elmont, NY 11003-1402
Phone (516) 328-9843

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
#A1212034NYMDAdult Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1363737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364169600000",
    "number": "1043552797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 HEATHCOTE RD",
            "address_2": "ELMONT",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110031402",
            "telephone_number": "516-328-9843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 HEATHCOTE RD",
            "address_2": "3",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "11003",
            "telephone_number": "516-328-9843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARA",
        "first_name": "JANICE",
        "middle_name": "CHANDRA",
        "name_prefix": "Miss",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-20",
        "last_updated": "2013-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "#A1212034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmont, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2013; 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.