Individual provider Active NPI

Tarika Shareen James, MD

  • Family Medicine Physician
  • Roosevelt, NY
National Provider Identifier
1174703516
Registry record updated Sep 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
246650 Issued in NY
Practice address
380 Nassau Rd
Roosevelt, NY 11575-1343
Phone
(516) 571-8600
Fax
(516) 546-4154
NPI assigned
Nov 13, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 246650 NY Primary

Addresses

Primary practice location

380 Nassau Rd
Roosevelt, NY 11575-1343

Mailing address

1600 Stewart Ave Ste 300
Westbury, NY 11590-6611
Phone (516) 396-0187

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140619000958 NY Practitioner - Family Practice 7315101557 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Harmony Health Care Long Island Current Accepting new patients
Harmony Health Care Long Island CurrentSince Dec 1, 2013 Accepting new patients
Harmony Health Care Long Island CurrentSince Dec 1, 2013 Accepting new patients

Locations

135 Main St
Hempstead, NY 11550
Phone (516) 292-3111

380 Nassau Rd
Roosevelt, NY 11575
Phone (516) 571-8200

1600 Stewart Ave
Ste 300
Westbury, NY 11590
Phone (516) 546-4209

Organizations & group practices 3

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": "1194912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536883200000",
    "number": "1174703516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 STEWART AVE STE 300",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115906611",
            "telephone_number": "516-396-0187",
            "fax_number": "516-396-0302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 NASSAU RD",
            "city": "ROOSEVELT",
            "state": "NY",
            "postal_code": "115751343",
            "telephone_number": "516-571-8600",
            "fax_number": "516-546-4154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMES",
        "first_name": "TARIKA",
        "middle_name": "SHAREEN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-13",
        "last_updated": "2018-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "246650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roosevelt, NY

Sources for this page

Verify at the official NPI Registry.