Tamara Community Support Services Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

1759955 Issued in NJ

Legal business name

TAMARA COMMUNITY SUPPORT SERVICES INC.

Practice address

877 Broad St
Suite 207
Newark, NJ 07102-2612

Phone

(973) 286-0101

NPI assigned

Feb 4, 2013

Organization subpart

No

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

Authorized official

Name

Katherine Ellu

Title

Executive Director

Phone

(973) 286-0101

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1359936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359936000000",
    "number": "1679812119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1382",
            "city": "LAURENCE HARBOR",
            "state": "NJ",
            "postal_code": "088794382",
            "telephone_number": "973-286-0101",
            "fax_number": "973-286-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "877 BROAD ST",
            "address_2": "SUITE 207",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071022612",
            "telephone_number": "973-286-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMARA COMMUNITY SUPPORT SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-04",
        "last_updated": "2013-02-04",
        "status": "A",
        "authorized_official_last_name": "ELLU",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "973-286-0101"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "1759955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ammundeep Singh Tagore, MD, MSHA, MBA
• Nahla Taher
• Vikesh Tahiliani, M.D.
• Oluwole Ayodeji Tairu, MD
• James Takahashi, MD
• Amro Tambal
• Nisha Tamhankar, D.M.D.
• Saraaga Varada Tamirisa, MD
• Emily S. Tan, PA-C
• Royland Tan, MD

• Community/Behavioral Health Agency in Newark, NJ
• Providers in Newark, NJ by specialty
• Community/Behavioral Health Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2013; 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.