Individual provider Active NPI

Tamieka T Allison

  • Adult Health Nurse Practitioner
  • North Baldwin, NY
National Provider Identifier
1104594274
Registry record updated Jun 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
310293 Issued in NY
Practice address
716 William St
North Baldwin, NY 11510-1828
Phone
(917) 923-5414
NPI assigned
Sep 2, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2022

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 310293 NY Primary

Addresses

Primary practice location

716 William St
North Baldwin, NY 11510-1828

Mailing address

716 William St
North Baldwin, NY 11510-1828
Phone (917) 923-5414

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
I20211109000103 NY Practitioner - Nurse Practitioner 7315336674 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
99.37
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
25.46 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
84.87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
310293NYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred Professional Medical Care PC CurrentSince Oct 18, 2021 Accepting new patients
Home Medical Services PLLC CurrentSince Dec 1, 2025 Accepting new patients
Prine Health Medical Group, PLLC CurrentSince Dec 1, 2021 Accepting new patients
Nys Medical Associate PLLC CurrentSince Apr 28, 2024 Accepting new patients
Prine Health Medical Group, PLLC CurrentSince Dec 1, 2021 Accepting new patients
Mill Basin Medical Health PC CurrentSince Apr 2, 2024 Accepting new patients

Locations

20110 Northern Blvd
Ste 304
Bayside, NY 11361
Phone (516) 407-2727

1583 E 66th St
#1
Brooklyn, NY 11234
Phone (917) 318-4724

370 Old Country Rd
Ste 100
Garden City, NY 11530
Phone (516) 222-1000

48 Frost Ln
Unit A
Lawrence, NY 11559
Phone (516) 587-9960

1129 Northern Blvd
Ste 101
Manhasset, NY 11030
Phone (516) 365-5570

300 Community Dr
Plandome, NY 11030

3505 Veterans Memorial Hwy
Ste C
Ronkonkoma, NY 11779
Phone (631) 676-7556

Organizations & group practices 6

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": "1630540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1104594274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 WILLIAM ST",
            "city": "NORTH BALDWIN",
            "state": "NY",
            "postal_code": "115101828",
            "telephone_number": "917-923-5414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 WILLIAM ST",
            "city": "NORTH BALDWIN",
            "state": "NY",
            "postal_code": "115101828",
            "telephone_number": "917-923-5414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLISON",
        "first_name": "TAMIEKA",
        "middle_name": "T",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-02",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "310293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Baldwin, NY

Sources for this page

Verify at the official NPI Registry.