Active NPI
Tara Parisi
- Specialist
- Miller Place, NY
National Provider Identifier
1629425111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 596785121
- Practice address
- 8 Old Cow Path
Miller Place, NY 11764-2130 - Phone
- (631) 703-4181
- NPI assigned
- May 16, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 596785121 | NY | Primary |
| Specialist | 174400000X | 596999121 | NY |
Addresses
Primary practice location
8 Old Cow Path
Miller Place, NY 11764-2130
Mailing address
8 Old Cow Path
Miller Place, NY 11764-2130
Other names 1
- Tara Gassick
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 596785121 | NY | MD | Specialist |
| 596999121 | NY | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463356800000",
"number": "1629425111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 OLD COW PATH",
"city": "MILLER PLACE",
"state": "NY",
"postal_code": "117642130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 OLD COW PATH",
"city": "MILLER PLACE",
"state": "NY",
"postal_code": "117642130",
"telephone_number": "631-703-4181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARISI",
"first_name": "TARA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-16",
"last_updated": "2016-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "596785121",
"primary": true
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "596999121",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TARA",
"last_name": "GASSICK",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Miller Place, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.