Tara M Pellegrino, DO
Family Medicine in Columbus, New Jersey
1043531247- Practice location
- 23203 Columbus RD Ste I, Columbus, NJ 08022
- Phone
- 609-303-4450
- Fax
- 609-303-4451
- Last updated
- December 27, 2023
Tara Marie Pellegrino is a Family Medicine based in Columbus, NJ. Tara Marie Pellegrino practices in Columbus, NJ and has the professional credentials of DO. The NPI Number for Tara Marie Pellegrino is 1043531247 and holds a License No. 25MB09161600 (NJ). The current practice location address for Tara Marie Pellegrino is 23203 Columbus RD Ste I, Columbus, NJ 08022 and can be reached out via phone at 609-303-4450 and via fax at 609-303-4451.
Provider Profile Details
- NPI Number
- 1043531247
- Provider Name
- Tara Marie Pellegrino
- Credential
- DO
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 23203 Columbus RD Ste I, Columbus, NJ 08022
- Phone Number
- 609-303-4450
- Fax Number
- 609-303-4451
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 22, 2010
- Last Update Date
- December 27, 2023
- Certification Date
- December 27, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 23203 Columbus RD Ste I
Columbus, NJ 08022 - City
- Columbus
- State
- New Jersey
- Zip
- 08022
- Phone Number
- 609-303-4450
- Fax Number
- 609-303-4451
Provider Business Mailing Address Details
- Address
- 23203 Columbus RD Ste I
Columbus, NJ 08022-1985 - City
- Columbus
- State
- NJ
- Zip
- 08022-1985
- Phone Number
- 609-303-4450
- Fax Number
- 609-303-4451
License Information
- License Number
- 25MB09161600
- License State
- NJ
- Taxonomy
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Tara M Pellegrino, DO?
The NPI number of Tara M Pellegrino, DO is 1043531247. It was assigned on June 22, 2010 and is currently active in the NPPES registry.
What is the specialty of Tara M Pellegrino, DO?
Tara M Pellegrino, DO is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NJ under license number 25MB09161600.
Where does Tara M Pellegrino, DO practice?
The practice location is 23203 Columbus RD Ste I, Columbus, NJ 08022. The office can be reached at 609-303-4450 (phone) or 609-303-4451 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043531247 directly on the NPPES registry website.