Active NPI
Tayeeba Tariq
- Hospitalist Physician
- Beverly, MA
National Provider Identifier
1639745995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 1019870
- Practice address
- 85 Herrick St
Beverly, MA 01915-1790 - Phone
- (978) 922-3000
- NPI assigned
- May 27, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 1019870 | MA | Primary |
Addresses
Primary practice location
85 Herrick St
Beverly, MA 01915-1790
Mailing address
41 Mall Rd
Burlington, MA 01805-0001
Phone (781) 744-8000
Other practice location 1
1600 S Andrews Ave
Fort Lauderdale, FL 33316-2510
Phone (954) 941-8300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lahey Clinic, Inc | Current | Accepting new patients | |
| Northeast Hospital Corporation | Past | Accepting new patients |
Locations
85 Herrick St
Beverly, MA 01915
Phone (978) 816-3700
41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Peabody, MA
- NPI 1063447316
-
- General Acute Care Hospital
- Beverly, MA
- NPI 1316917941
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727654400000",
"number": "1639745995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 MALL RD",
"city": "BURLINGTON",
"state": "MA",
"postal_code": "018050001",
"telephone_number": "781-744-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 HERRICK ST",
"city": "BEVERLY",
"state": "MA",
"postal_code": "019151790",
"telephone_number": "978-922-3000"
}
],
"practiceLocations": [
{
"address_1": "1600 S Andrews Ave",
"address_purpose": "LOCATION",
"city": "Fort Lauderdale",
"state": "FL",
"postal_code": "333162510",
"country_code": "US",
"telephone_number": "954-941-8300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TARIQ",
"first_name": "TAYEEBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-27",
"last_updated": "2024-09-30",
"certification_date": "2024-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "MA",
"license": "1019870",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beverly, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; 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.