Individual provider Active NPI

Ellery Tarife, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Rutherford, NJ
National Provider Identifier
1902862543
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ00143800 Issued in NJ
Practice address
9 Hobart Ave
Rutherford, NJ 07070-1405
Phone
(845) 641-4634
NPI assigned
Apr 22, 2006
Last updated
Dec 3, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ00143800 NJ
Family Nurse Practitioner 363LF0000X F333998 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ00143800 NJ Primary

Addresses

Primary practice location

9 Hobart Ave
Rutherford, NJ 07070-1405

Mailing address

9 Hobart Ave
Rutherford, NJ 07070-1405
Phone (845) 641-4634

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20081229000169 NJ Practitioner - Nurse Practitioner 0840242442 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Care Plus NJ IncGroup PAC ID 9436160553, 52 clinicians

Practice addresses (Care Compare)

Rutherford, NJ 07070
Phone (201) 431-2066

610 Valley Health PLZ
Paramus, NJ 07652-3607
Phone (201) 265-8200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F333998NYMDFamily Nurse Practitioner
26NJ00143800NJMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Center at Freehold LLC CurrentSince Oct 29, 2022 Accepting new patients
E Tarife Therapeutics LLC CurrentSince May 21, 2021 Accepting new patients
Counseling Center at Clark, LLC CurrentSince Oct 1, 2022 Accepting new patients
Counseling Center at Toms River LLC CurrentSince Oct 28, 2022 Accepting new patients
Care Plus NJ, Inc. Current Accepting new patients
Counseling Center at Fair Lawn, LLC CurrentSince Nov 16, 2022 Accepting new patients
Valley Physician Services PC CurrentSince Oct 1, 2016 Accepting new patients
Care Plus NJ, Inc CurrentSince Dec 23, 2018 Accepting new patients
Care Plus NJ, Inc CurrentSince Dec 23, 2018 Accepting new patients
Project Renewal Inc Past Accepting new patients

Locations

2328 10th Ave N
Ste 300
Lake Worth Beach, FL 33461
Phone (561) 318-4476

2328 10th Ave N
Ste 302
Lake Worth Beach, FL 33461
Phone (561) 318-4411

950 Kings Hwy N
Ste 304
Cherry Hill, NJ 08034
Phone (856) 600-0951

16-01 Broadway
Fair Lawn, NJ 07410
Phone (201) 389-5326

4345 US Highway 9
Freehold, NJ 07728
Phone (732) 414-3601

127 Union Ave
#1
Middlesex, NJ 08846
Phone (732) 629-9510

1100 Cornwall Rd
Ste 111
Monmouth Junction, NJ 08852
Phone (732) 419-4000

1 Valley Health Plz
Paramus, NJ 07652
Phone (201) 634-5353

610 Valley Health Plz
Paramus, NJ 07652
Phone (201) 797-2660

223 N Van Dien Ave
Ridgewood, NJ 07450
Phone (201) 447-8417

691 US Highway 130
Ste 5
Robbinsville, NJ 08691
Phone (609) 759-2070

71 Union Ave
Ste 107A
Rutherford, NJ 07070
Phone (201) 804-2575

1198 Lakewood Rd
Ste 102
Toms River, NJ 08753
Phone (732) 605-6364

1120 Bloomfield Ave
Ste 200
West Caldwell, NJ 07006
Phone (973) 453-0808

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GDHECD/Endpoint/GDHECD

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1145664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1902862543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 HOBART AVE",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "070701405",
            "telephone_number": "845-641-4634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 HOBART AVE",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "070701405",
            "telephone_number": "845-641-4634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARIFE",
        "first_name": "ELLERY",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-22",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00143800",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F333998",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00143800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rutherford, NJ

Sources for this page

Verify at the official NPI Registry.