Active NPI
Tamara Cira Gustave
- Registered Nurse
- Roosevelt, NY
National Provider Identifier
1629915194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- N25315
- Practice address
- 123 Stevens St
Roosevelt, NY 11575-2239 - Phone
- (774) 623-1829
- NPI assigned
- May 1, 2026
- Last updated
- May 1, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | N25315 | NY | Primary |
Addresses
Primary practice location
123 Stevens St
Roosevelt, NY 11575-2239
Mailing address
123 Stevens St
Roosevelt, NY 11575-2239
Phone (774) 623-1829
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 |
|---|---|---|---|
| N25315 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1777593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777593600000",
"number": "1629915194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 STEVENS ST",
"city": "ROOSEVELT",
"state": "NY",
"postal_code": "115752239",
"telephone_number": "774-623-1829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 STEVENS ST",
"city": "ROOSEVELT",
"state": "NY",
"postal_code": "115752239",
"telephone_number": "774-623-1829"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CIRA GUSTAVE",
"first_name": "TAMARA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-05-01",
"last_updated": "2026-05-01",
"certification_date": "2026-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "N25315",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roosevelt, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.