Nicholas Tamborra, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

007887 Issued in NY

Practice address

1765 South Ave
Staten Island, NY 10314-3604

Phone

(718) 982-6982

NPI assigned

Sep 5, 2017

Sex

Male

Sole proprietor

No

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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jewish Board of Family and Childrens Services IncGroup PAC ID 5092607333, 127 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Jewish Board of Family & Childrens Services Inc

  • Community/Behavioral Health Agency
  • New York, NY
  • NPI 1689755662
  Medicare reassignment Care Compare group NPD
• Jewish Board of Family and Children'S Services, Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Brooklyn, NY
  • NPI 1760173579
  NPD

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

{
    "created_epoch": "1504569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1316465818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1765 SOUTH AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103143604",
            "telephone_number": "718-982-6982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1765 SOUTH AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103143604",
            "telephone_number": "718-982-6982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMBORRA",
        "first_name": "NICHOLAS",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-05",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "007887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wai-Kwok Tam, MD
• Tamara Anna Marie Saukin MD PC
• Tamara Sibalic-Mandic Physician Internal Medicine PC
• Jacqueline Tambi-King, L.P.N.
• Larena Tambone, RN
• Frank Vincent Tamburrino, MD
• Noreen Tan-Chu, M. D.
• Aung Aung Tan, RPH
• Lydia T. Tan I, RN
• Vivian Tan, RD

• Mental Health Counselor in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.