Individual provider Active NPI

Tara A Hibbett, PA-C

  • Physician Assistant
  • Bedminster, NJ
National Provider Identifier
1831682004
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2436 Lamington Rd
Bedminster, NJ 07921-2611
Phone
(908) 458-6874
Fax
(732) 647-1140
NPI assigned
Jun 12, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

2436 Lamington Rd
Bedminster, NJ 07921-2611

Mailing address

124 W Spring St
Somerville, NJ 08876-1534
Phone (908) 386-0910

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1528761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1831682004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 W SPRING ST",
            "city": "SOMERVILLE",
            "state": "NJ",
            "postal_code": "088761534",
            "telephone_number": "908-386-0910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2436 LAMINGTON RD",
            "city": "BEDMINSTER",
            "state": "NJ",
            "postal_code": "079212611",
            "telephone_number": "908-458-6874",
            "fax_number": "732-647-1140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIBBETT",
        "first_name": "TARA",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-12",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedminster, NJ

Sources for this page

Verify at the official NPI Registry.