Carissa Taroli, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

MA058557 Issued in PA

Practice address

189 E Market St
Wilkes Barre, PA 18702-5243

Phone

(570) 846-2720

NPI assigned

Nov 4, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA, FL, NJ, ME4 enrollments

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 4

Specialty

Physician Assistant

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Ophelia Medical Group NJ PCGroup PAC ID 0547657397, 14 clinicians

Ophelia Medical Group FL PAGroup PAC ID 7810398534, 103 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Physician Assistant

State licenses

Practice roles

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.

• Ophelia Medical Group FL, P.a.

  • Addiction Medicine (Family Medicine) Physician
  • Philadelphia, PA
  • NPI 1588244750

  FL, ME

  Medicare reassignment Care Compare group
• Ophelia Medical Group NJ PC

  • Psychiatry Physician
  • Flanders, NJ
  • NPI 1346906179
  Medicare reassignment Care Compare group
• Ophelia Medical Group, P.C.

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Philadelphia, PA
  • NPI 1376179150
  NPD (past)

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

{
    "created_epoch": "1383523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678320000000",
    "number": "1619306230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 E MARKET ST",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187025243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 E MARKET ST",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187025243",
            "telephone_number": "570-846-2720"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "161 Cecil B Moore Ave",
            "address_2": "Suite 204",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191223243",
            "country_code": "US",
            "telephone_number": "866-306-2026",
            "fax_number": "833-228-5591",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "801 W Bay Dr Ste 408",
            "address_purpose": "LOCATION",
            "city": "Largo",
            "state": "FL",
            "postal_code": "337703220",
            "country_code": "US",
            "telephone_number": "866-306-2026",
            "fax_number": "833-228-5591",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "230 US Highway 206",
            "address_2": "Bldg 3, Ste 4",
            "address_purpose": "LOCATION",
            "city": "Flanders",
            "state": "NJ",
            "postal_code": "078369287",
            "country_code": "US",
            "telephone_number": "866-306-2026",
            "fax_number": "833-228-5591",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAROLI",
        "first_name": "CARISSA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-04",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "017175",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA058557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Un Chong Tam, D.D.S.
• Victoria Tanana, PA-C
• Alex Tang, MD
• Joshua Tanner
• Ashley Diane Tarabek, PA-C
• Deborah A Taylor-Harrison
• Debbie Taylor, LBHS
• Devaney Taylor, PHARMD, RPH
• Ruthann Taylor
• Stacey Marie Taylor, CRNP, MSN, FNP-C

• Medical Physician Assistant in Wilkes Barre, PA
• Providers in Wilkes Barre, PA by specialty
• Medical Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.
• 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.