Tara Wight

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

110 Jericho Tpke Ste 212
Floral Park, NY 11001-2019

Phone

(516) 263-2375

Fax

(516) 856-2004

NPI assigned

Mar 27, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1679875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679875200000",
    "number": "1114620366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "396 MANHATTAN AVE # 2L",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112111420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 JERICHO TPKE STE 212",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110012019",
            "telephone_number": "516-263-2375",
            "fax_number": "516-856-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIGHT",
        "first_name": "TARA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-27",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co
• Jeanne Walsh
• Kenneth Paul Wank, D.C.
• Catherine M. White, MA,CCC-SLP
• Marc E Wietschner, M.D.
• Mordeana Morquita Williams, DNP, FNP
• Teresa Elisabeth Wiszowaty
• Philip Wong, MD
• Rosie M Wong, M.D.
• Ashley Woodham Dunn

• Counselor in Floral Park, NY
• Providers in Floral Park, NY by specialty
• Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; 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.