Tara Halpern, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

019383 Issued in NY

Practice address

2818 Astoria Blvd
Astoria, NY 11102-4751

Phone

(917) 410-6905

Fax

(646) 878-6095

NPI assigned

Jun 30, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NY, NJ2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

State University of New York at Stony Brook, School of Medicine, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Am PM Walk in Urgent Care ClinicGroup PAC ID 5092954602, 79 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Englewood Hospital and Medical Center Hospital, Englewood, NJ, CCN 310045

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: massapequa@phoenixhealthwellness.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Am PM Walk in Urgent Care Clinic

  • Urgent Care Clinic/Center
  • Bergenfield, NJ
  • NPI 1073853859
  Medicare reassignment Care Compare group
• HP Medical Care PC

  dba MyDoc Urgent Care

  • Urgent Care Clinic/Center
  • Forest Hills, NY
  • NPI 1356731202
  Medicare reassignment
• Island Wide Medical Care PLLC

  • Dermatology Physician
  • Massapequa, NY
  • NPI 1558049577
  NPD
• Walk in GYN Care, PC

  • Gynecology Physician
  • New York, NY
  • NPI 1780138461
  NPD
• Walk in Womens Gynecology PLLC

  dba Walk in GYN Care

  • Obstetrics & Gynecology Physician
  • Staten Island, NY
  • NPI 1649820614
  NPD (past)
• Am PM Primary Care

  • Primary Care Clinic/Center
  • Bergenfield, NJ
  • NPI 1083045694
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Englewood Hospital and Medical Center

  • General Acute Care Hospital
  • Englewood, NJ
  • NPI 1083612881
  Care Compare affiliation

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

{
    "created_epoch": "1435622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1679956395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2818 ASTORIA BLVD",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111024751",
            "telephone_number": "917-410-6905",
            "fax_number": "646-878-6095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2818 ASTORIA BLVD",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111024751",
            "telephone_number": "917-410-6905",
            "fax_number": "646-878-6095"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "616 Broadway",
            "address_purpose": "LOCATION",
            "city": "Massapequa",
            "state": "NY",
            "postal_code": "117585024",
            "country_code": "US",
            "telephone_number": "516-795-8446",
            "fax_number": "516-795-2981",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALPERN",
        "first_name": "TARA",
        "name_prefix": "Miss",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-30",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "019383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MASSAPEQUA@PHOENIXHEALTHWELLNESS.COM",
            "affiliation": "N",
            "endpointDescription": "OFFICE",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "MAIL",
            "address_1": "616 Broadway",
            "city": "Massapequa",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117585024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Meraaj Syed Haleem, MD
• Themis Haliou, RD
• John Bill Halkias, MD
• Chad Benjamin Haller, M.D.
• Melvin Lee Haller, MD
• Alicia Halpin, L.AC.
• Hazem Hamed, PT
• Erum Seema Hamid
• Claire Hamilton
• Phyllis Hamilton, MSW

• Physician Assistant in Astoria, NY
• Providers in Astoria, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.