Active NPI
Tara Marean, LCAT
- Specialist
- Croton on Hudson, NY
National Provider Identifier
1780007526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 000453-1
- Practice address
- 1 Ridge Rd
Croton on Hudson, NY 10520-2623 - Phone
- (914) 271-4899
- Fax
- (914) 271-4899
- NPI assigned
- Jan 30, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 000453-1 | NY | Primary |
Addresses
Primary practice location
1 Ridge Rd
Croton on Hudson, NY 10520-2623
Mailing address
1 Ridge Rd
Croton on Hudson, NY 10520-2623
Phone (914) 271-4899
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000453-1 | Other | NY | LCAT |
| 89-233 | Other | NC | ATR BC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000453-1 | NY | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391040000000",
"number": "1780007526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 RIDGE RD",
"city": "CROTON ON HUDSON",
"state": "NY",
"postal_code": "105202623",
"telephone_number": "914-271-4899",
"fax_number": "914-271-4899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 RIDGE RD",
"city": "CROTON ON HUDSON",
"state": "NY",
"postal_code": "105202623",
"telephone_number": "914-271-4899",
"fax_number": "914-271-4899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAREAN",
"first_name": "TARA",
"name_prefix": "Ms.",
"credential": "LCAT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-01-30",
"last_updated": "2014-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "000453-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LCAT",
"identifier": "000453-1",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ATR BC",
"identifier": "89-233",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Croton on Hudson, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.