Irina Taraban, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

038158 Issued in CT

Practice address

637 West Ave
Suite 200
Norwalk, CT 06850-4004

Phone

(203) 853-5000

Fax

(203) 853-5001

NPI assigned

Sep 26, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1871694562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 WEST AVENUE",
            "address_2": "SECOND FLOOR",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068504004",
            "telephone_number": "203-853-5000",
            "fax_number": "203-853-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "637 WEST AVE",
            "address_2": "SUITE 200",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068504004",
            "telephone_number": "203-853-5000",
            "fax_number": "203-853-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARABAN",
        "first_name": "IRINA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CT",
            "license": "038158",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001381582",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Anthony Tamucci, DDS
• Li-Hua Tan
• Kylie Tanabe, PA-C
• Momo Tanaka
• Gillian Barbara Tanz, MSW, LCSW
• Tarnasky Psychotherapy and Healing, PLLC
• Anne Margaret Tarnasky, MA, LPC
• Michael Anthony Tassiello, M.S. , CCC-A
• Jeffrey A. Tauscher, L.C.S.W.
• Marsha Techeira, LMFT

• Neurology Physician in Norwalk, CT
• Providers in Norwalk, CT by specialty
• Neurology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.