Daniel W Tarallo, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

013699 Issued in NY

Practice address

384 Crystal Run Rd Ste 201
Middletown, NY 10941-4073

Phone

(845) 692-8780

NPI assigned

Nov 5, 2009

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: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Physician Assistant

Practice roles

Networks

• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H3359

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• BP Immediate Medical Care, PC

  • Urgent Care Clinic/Center
  • Brooklyn, NY
  • NPI 1205105004
  Medicare reassignment
• Tri State Surgical Associates PLLC

  • Specialist
  • Middletown, NY
  • NPI 1801993175
  Medicare reassignment
• Pharma Holding Inc

  dba Kent Pharmacy

  • Pharmacy
  • Brooklyn, NY
  • NPI 1396153680
  NPD (past)
• Recoverhealth Medical Services, PLLC

  dba RecoverHealth

  • Surgery Physician
  • Suffern, NY
  • NPI 1184859381
  NPD (past)
• Rockland Medical Group, PLLC

  • Internal Medicine Physician
  • Garnerville, NY
  • NPI 1336172501
  NPD (past)
• Lake Mary Medical Consulting Inc

  • Emergency Medicine Physician
  • Palatka, FL
  • NPI 1528349065
  NPD (past)

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

{
    "created_epoch": "1257379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684195200000",
    "number": "1437486941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "384 CRYSTAL RUN RD STE 201",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109414073",
            "telephone_number": "845-692-8780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "384 CRYSTAL RUN RD STE 201",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109414073",
            "telephone_number": "845-692-8780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARALLO",
        "first_name": "DANIEL",
        "middle_name": "W",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-05",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "013699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Priyanka Tadepalli, CPNP-PC
• Syeda Tahera, M.D.
• Astrid J Tangarife
• Tara L. Montemurro, Licensed Behavior Analyst, P.C (The Behavior Place)
• Tara L. Montemurro, Licensed Behavior Analyst, P.C (The Behavior Place)
• Tas Pharmacy Inc (North Street Pharmacy)
• Petko P Tatarski, MD
• Tejaswini Tatoju, PTA
• Lenard Harvey Taub, D.D.S.
• Sandra Taveras, LCSW

• Medical Physician Assistant in Middletown, NY
• Providers in Middletown, NY by specialty
• Medical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.