Tara C Ey-Defazio, TSHH/DHH

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

67 Arizona Ave
Long Beach, NY 11561-1531

Phone

(516) 818-4749

NPI assigned

Jul 2, 2012

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1341187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341187200000",
    "number": "1629332887",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "67 ARIZONA AVE",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "11561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 ARIZONA AVE",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115611531",
            "telephone_number": "516-818-4749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EY-DEFAZIO",
        "first_name": "TARA",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "TSHH/DHH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-02",
        "last_updated": "2012-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mia Enright, OTR/L
• Noralee Esposito, PHARM D
• Jason Levi Esses, M.D.
• Livia Evangelista
• Evergreen Ear, Nose & Throat Surgery P.C.
• Nicole S Fader, LMT
• Ronald Harlan Falcon, M.D.
• Family Mental Health
• Bruce A Fastenberg, MD
• Meghan Featherston, OTR/L

• Specialist in Long Beach, NY
• Providers in Long Beach, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.