Active NPI
Vera Tarasova, PA
- Physician Assistant
- Brooklyn, NY
National Provider Identifier
1073014007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 021951
- Practice address
- 150 55TH St
Brooklyn, NY 11220-2508 - Phone
- (718) 630-7000
- NPI assigned
- Feb 25, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 021951 | NY | Primary |
| Surgical Physician Assistant | 363AS0400X |
Addresses
Primary practice location
150 55TH St
Brooklyn, NY 11220-2508
Mailing address
2252 E 26TH St
Brooklyn, NY 11229-4942
Phone (212) 920-6015
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
175 High St
Newton, NJ 07860-1004
Phone (954) 939-5000
333 US Hwy 46
Suite 106
Mountain Lakes, NJ 07046-1741
Phone (973) 939-6220
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.33 of 100
- Quality
- 82.1
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.34
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.8 of 100
- Quality
- 91.79
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.18
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York University | Current | Accepting new patients | |
| New York University | Current | Accepting new patients | |
| William R. Collini, M.D., P.a. | Past | Accepting new patients |
Locations
150 55th St
Brooklyn, NY 11220
Phone (718) 630-7185
14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224
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 and National Provider Directory roles.
-
- Emergency Medicine Physician
- Morristown, NJ
- NPI 1104309277
-
- Emergency Medicine Physician
- Newton, NJ
- NPI 1306118344
-
- General Practice Physician
- Newton, NJ
- NPI 1023358959
-
- Emergency Medicine Physician
- Hackettstown, NJ
- NPI 1558768473
-
- Physical Medicine & Rehabilitation Physician
- Boynton Beach, FL
- NPI 1104787613
-
- Specialist
- Newton, NJ
- NPI 1144426602
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610323200000",
"number": "1073014007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2252 E 26TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112294942",
"telephone_number": "212-920-6015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 55TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112202508",
"telephone_number": "718-630-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TARASOVA",
"first_name": "VERA",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-25",
"last_updated": "2021-01-11",
"certification_date": "2021-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "021951",
"primary": true
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; 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.