Active NPI
Tameka Tulloch, NP
- Family Nurse Practitioner
- Valley Stream, NY
National Provider Identifier
1275836637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F347276-01
- Practice address
- 167 E Merrick Rd
Valley Stream, NY 11580-5925 - Phone
- (516) 825-3030
- NPI assigned
- Dec 7, 2010
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 629213 | NY | |
| Family Nurse Practitioner | 363LF0000X | F347276-01 | NY | Primary |
Addresses
Primary practice location
167 E Merrick Rd
Valley Stream, NY 11580-5925
Mailing address
20509 109TH Ave
Saint Albans, NY 11412-1407
Phone (718) 464-5682
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 629213 | NY | MD | Registered Nurse |
| F347276-01 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allied Physicians Group, PLLC | Current | Accepting new patients |
Locations
11412 Beach Channel Dr
Rockaway Park, NY 11694
Phone (718) 318-6021
167 E Merrick Rd
Valley Stream, NY 11580
Phone (516) 360-6466
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
Interoperability endpoints
- tameka.tulloch.1@29151.direct.athenahealth.com
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Melville, NY
- NPI 1396944799
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684713600000",
"number": "1275836637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20509 109TH AVE",
"city": "SAINT ALBANS",
"state": "NY",
"postal_code": "114121407",
"telephone_number": "718-464-5682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "167 E MERRICK RD",
"city": "VALLEY STREAM",
"state": "NY",
"postal_code": "115805925",
"telephone_number": "516-825-3030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TULLOCH",
"first_name": "TAMEKA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-12-07",
"last_updated": "2023-05-22",
"certification_date": "2023-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "629213",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F347276-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valley Stream, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.