Individual provider Active NPI

Tasha McLean, NP

  • Primary Care Nurse Practitioner
  • Elmsford, NY
National Provider Identifier
1730513631
Registry record updated Jan 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
F343497-1 Issued in NY
Practice address
54 Town Green Dr BLDG 5
Elmsford, NY 10523-2322
Phone
(914) 207-3672
NPI assigned
Aug 27, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 582984 NY
Primary Care Nurse Practitioner 363LP2300X F343497-1 NY Primary

Addresses

Primary practice location

54 Town Green Dr BLDG 5
Elmsford, NY 10523-2322

Mailing address

54 Town Green Dr BLDG 5
Elmsford, NY 10523-2322
Phone (914) 207-3672

Other practice location 1

213 Beach 19th St
Fl. 2
Far Rockaway, NY 11691-4430
Phone (347) 794-2403

Other practice location 2

21 Town Green Dr
Elmsford, NY 10523-2313
Phone (914) 207-3672

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20200929001805 NY Practitioner - Nurse Practitioner 3678992427 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sun River Health Inc.Group PAC ID 6608783568, 246 clinicians

Practice addresses (Care Compare)

1037 Main St
Peekskill, NY 10566-2913
Phone (914) 734-8800

1200 Brown St
Peekskill, NY 10566-2913

23 Lakewood Ave
Monticello, NY 12701-2021
Phone (845) 794-2010

3360 Route 343
Amenia, NY 12501-5619
Phone (845) 838-7038

Hospital & facility affiliations

  • Garnet Health Medical Center Catskills Hospital, Harris, NY, CCN 330386

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
582984NYMDRegistered Nurse
F343497-1NYMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rapha House Calls Current Accepting new patients
Sun River Health Inc. CurrentSince Jan 9, 2023 Accepting new patients
Sun River Health Inc Current Accepting new patients
My Medical PC CurrentSince Dec 1, 2021 Accepting new patients

Locations

3360 Route 343
Amenia, NY 12501
Phone (845) 373-9006

3438 Bell Blvd
Ste 301
Bayside, NY 11361

6 Henry St
Beacon, NY 12508
Phone (845) 831-0400

147 2nd Ave
Brentwood, NY 11717
Phone (631) 273-7204

6355 Broadway
Bronx, NY 10471
Phone (718) 549-3300

2830 Pitkin Ave
Brooklyn, NY 11208
Phone (347) 420-8295

242 Beach 20th St
Far Rockaway, NY 11691
Phone (718) 471-0982

8008 45th Ave
Flushing, NY 11373
Phone (718) 373-0777

23 Lakewood Ave
Monticello, NY 12701
Phone (845) 794-2010

1037 Main St
Peekskill, NY 10566
Phone (914) 734-8800

11502 Ocean Promenade
Rockaway Park, NY 11694
Phone (718) 627-8700

Networks

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

Interoperability endpoints

  • Direct secure messaging: tasha.mclean@hrh.eclinicaldirectplus.com

Organizations & group practices 4

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 2

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

NPI Registry JSON

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

{
    "created_epoch": "1377561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1730513631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 TOWN GREEN DR BLDG 5",
            "city": "ELMSFORD",
            "state": "NY",
            "postal_code": "105232322",
            "telephone_number": "914-207-3672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 TOWN GREEN DR BLDG 5",
            "city": "ELMSFORD",
            "state": "NY",
            "postal_code": "105232322",
            "telephone_number": "914-207-3672"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "213 Beach 19th St",
            "address_2": "Fl. 2",
            "address_purpose": "LOCATION",
            "city": "Far Rockaway",
            "state": "NY",
            "postal_code": "116914430",
            "country_code": "US",
            "telephone_number": "347-794-2403",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21 Town Green Dr",
            "address_purpose": "LOCATION",
            "city": "Elmsford",
            "state": "NY",
            "postal_code": "105232313",
            "country_code": "US",
            "telephone_number": "914-207-3672",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCLEAN",
        "first_name": "TASHA",
        "name_prefix": "Miss",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-27",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "582984",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NY",
            "license": "F343497-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmsford, NY

Sources for this page

Verify at the official NPI Registry.