Individual provider Active NPI

Tara English Gimeli, CPNP-PC

  • Pediatric Nurse Practitioner
  • Babylon, NY
National Provider Identifier
1902440647
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
F382996-01 Issued in NY
Practice address
655 Deer Park Ave
Babylon, NY 11702-1314
Phone
(631) 321-2100
Fax
(631) 321-2246
NPI assigned
Nov 6, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X F382996-01 NY Primary

Addresses

Primary practice location

655 Deer Park Ave
Babylon, NY 11702-1314

Mailing address

655 Deer Park Ave
Babylon, NY 11702-1314
Phone (631) 321-2100

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
I20200514001283 NY Practitioner - Nurse Practitioner 0941631592 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F382996-01NYMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC CurrentSince Mar 1, 2020 Accepting new patients
Samaritan Pediatric Services, P.C. CurrentSince Oct 1, 2024 Accepting new patients

Locations

655 Deer Park Ave
Babylon, NY 11702
Phone (631) 321-2100

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

245 Old Country Rd
Melville, NY 11747
Phone (631) 465-6141

26901 76th Ave
New Hyde Park, NY 11040
Phone (718) 470-3000

1991 Marcus Ave
Ste 302
New Hyde Park, NY 11042
Phone (516) 321-8600

300 Community Dr
Plandome, NY 11030

2000 N Village Ave
Ste 310
Rockville Ctr, NY 11570
Phone (516) 536-2211

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: tgimeli171065@direct-chsli.net

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1572998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769558400000",
    "number": "1902440647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 DEER PARK AVE",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117021314",
            "telephone_number": "631-321-2100",
            "fax_number": "631-321-2246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 DEER PARK AVE",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117021314",
            "telephone_number": "631-321-2100",
            "fax_number": "631-321-2246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIMELI",
        "first_name": "TARA",
        "middle_name": "ENGLISH",
        "credential": "CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-06",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "F382996-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Babylon, NY

Sources for this page

Verify at the official NPI Registry.