Individual provider Active NPI

Tara Sue Federman, M.S. SPECIAL ED

  • Specialist
  • Middletown, NY
National Provider Identifier
1821343377
Registry record updated Jul 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
2277 Goshen Tpke
Middletown, NY 10941-4032
Phone
(845) 692-4391
Fax
(845) 692-4397
NPI assigned
Jul 20, 2012
Sex
Female
Sole proprietor
No

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
Credentials
Master of Science

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NY Primary

Addresses

NPPES NPI Registry

Primary practice location

2277 Goshen Tpke
Middletown, NY 10941-4032

Mailing address

2277 Goshen Tpke
Middletown, NY 10941-4032
Phone (845) 692-4391

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 20, 2012.

{
    "created_epoch": "1342742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342742400000",
    "number": "1821343377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2277 GOSHEN TPKE",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109414032",
            "telephone_number": "845-692-4391",
            "fax_number": "845-692-4397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2277 GOSHEN TPKE",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109414032",
            "telephone_number": "845-692-4391",
            "fax_number": "845-692-4397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEDERMAN",
        "first_name": "TARA",
        "middle_name": "SUE",
        "name_prefix": "Ms.",
        "credential": "M.S. SPECIAL ED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-20",
        "last_updated": "2012-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2012; 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.