Individual provider Active NPI

Tara Alexandra Delmoor, FNP

  • Family Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1104563303
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
349145 Issued in NY
Practice address
3119 Fillmore Ave
Brooklyn, NY 11234-4836
Phone
(718) 664-5524
NPI assigned
May 18, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 349145 NY Primary

Addresses

Primary practice location

3119 Fillmore Ave
Brooklyn, NY 11234-4836

Mailing address

3119 Fillmore Ave
Brooklyn, NY 11234-4836
Phone (718) 664-5524

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241018001563 NY Practitioner - Nurse Practitioner 3274065925 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
349145NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Essen Medical Associates, PC CurrentSince Aug 16, 2024 Accepting new patients
Essen Medical Associates, PC CurrentSince Aug 16, 2024 Accepting new patients
Essen Medical Urgicare, PLLC CurrentSince Aug 16, 2024 Accepting new patients
House Call Medical Services of New York, PLLC CurrentSince Aug 16, 2024 Accepting new patients
Bronx Medical Practice P.C. CurrentSince Aug 16, 2024 Accepting new patients

Locations

1550 Dr Martin L King Jr Blvd
Bronx, NY 10452
Phone (347) 269-2366

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

8989 Union Tpke
Glendale, NY 11385
Phone (718) 480-6207

8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1652832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1104563303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3119 FILLMORE AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112344836",
            "telephone_number": "718-664-5524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3119 FILLMORE AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112344836",
            "telephone_number": "718-664-5524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELMOOR",
        "first_name": "TARA",
        "middle_name": "ALEXANDRA",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-18",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "349145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.