NPIMap

Individual provider Active NPI

Tara K Mullen, FNP

  • Nurse Practitioner
  • New York, NY
National Provider Identifier
1689221210
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F-344194-1 Issued in NY
Practice address
505 E 70TH St
New York, NY 10021-4872
Phone
(212) 746-2900
NPI assigned
Aug 19, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X F-344194-1 NY Primary

Addresses

Primary practice location

505 E 70TH St
New York, NY 10021-4872

Mailing address

539 Hartford CT
South Orange, NJ 07079-2723
Phone (347) 752-8244

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191021000174 NY Practitioner - Nurse Practitioner 7315278587 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Weill Medical College of CornellGroup PAC ID 6800709023, shared by 46 NPIs, 2,023 clinicians

Practice addresses (Care Compare)

505 E 70TH St
New York, NY 10021-4872
Phone (212) 746-2917

525 E 68TH St
Emergency Physicians Dept
New York, NY 10021-4870
Phone (646) 962-7300

Hospital & facility affiliations

  • New York-Presbyterian Hospital Hospital, New York, NY, CCN 330101
  • Hospital for Special Surgery Hospital, New York, NY, CCN 330270

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
344194NYMDLicensed Practical Nurse
F-344194-1NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Weill Medical College of Cornell Multi-Specialty Current Accepting new patients
Weill Medical College of Cornell Multi-Specialty CurrentSince Jan 14, 2026 Accepting new patients
Weill Medical College of Cornell Multi-Specialty CurrentSince Nov 1, 2019 Accepting new patients
Weill Medical College of Cornell Multi-Specialty CurrentSince Nov 1, 2019 Accepting new patients
Weill Medical College of Cornell Multi-Specialty CurrentSince Feb 1, 2021 Accepting new patients
Weill Cornell Medical Imaging CurrentSince Feb 1, 2021 Accepting new patients
Memorial Anesthesiology Group Multi-Specialty CurrentSince Apr 18, 2022 Accepting new patients
Weill Cornell Imaging at New York Presbyterian Multi-Specialty CurrentSince Feb 1, 2021 Accepting new patients
Cornell University Medical College Multi-Specialty Past Accepting new patients
The New York and Presbyterian Hospital Past Accepting new patients

Locations

520 E 70th St
New York, NY 10021
Phone (212) 746-0838

170 William St
New York, NY 10038
Phone (212) 238-0100

525 E 68th St
#585
New York, NY 10065
Phone (212) 746-2059

525 E 68th St
New York, NY 10065
Phone (212) 746-2846

505 E 70th St
Fl 4
New York, NY 10021
Phone (212) 746-2900

505 E 70th St
New York, NY 10021
Phone (212) 746-2900

1300 York Ave
New York, NY 10065
Phone (212) 746-2900

1275 York Ave
New York, NY 10065
Phone (212) 639-3813

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: tkm9002@direct.nyp.org
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 11

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.

Hospital & facility affiliations 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1566172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773014400000",
    "number": "1689221210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "539 HARTFORD CT",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070792723",
            "telephone_number": "347-752-8244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 E 70TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214872",
            "telephone_number": "212-746-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLEN",
        "first_name": "TARA",
        "middle_name": "K",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-19",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F-344194-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.