Active NPIIndividual providerSole proprietor

Tara Roed, SPECIAL EDUCATOR

Specialist in Staten Island, New York

NPI Number1609543081
Practice location
2707 Hylan Blvd, Staten Island, NY 10306-4657
Fax
—
Last updated
August 24, 2021

Tara Roed is a Specialist based in Staten Island, NY. Tara Roed practices in Staten Island, NY and has the professional credentials of SPECIAL EDUCATOR. The NPI Number for Tara Roed is 1609543081 and holds a License No. 78654 (NY). The current practice location address for Tara Roed is 2707 Hylan Blvd, Staten Island, NY 10306-4657 and can be reached out via phone at 718-851-3300.

Provider Profile Details

NPI Number
1609543081
Provider Name
Tara Roed
Credential
SPECIAL EDUCATOR
Provider Entity Type
Individual
Gender
Female
Address
2707 Hylan Blvd, Staten Island, NY 10306-4657
Phone Number
718-851-3300
Primary Taxonomy
Specialist · 174400000X
Sole Proprietor
Yes
Provider Enumeration Date
August 24, 2021
Last Update Date
August 24, 2021
Certification Date
August 23, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
2707 Hylan Blvd
Staten Island, NY 10306-4657
Zip
10306-4657
Phone Number
718-851-3300
Staten Island, NY 10306Get directions →

Provider Business Mailing Address Details

Address
22 Perona Ln
Staten Island, NY 10308-3323
City
Staten Island
State
NY
Zip
10308-3323
Phone Number
347-247-1184

License Information

License Number
78654
License State
NY
Taxonomy
Specialist · 174400000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Roed, SPECIAL EDUCATOR?

The NPI number of Tara Roed, SPECIAL EDUCATOR is 1609543081. It was assigned on August 24, 2021 and is currently active in the NPPES registry.

What is the specialty of Tara Roed, SPECIAL EDUCATOR?

Tara Roed, SPECIAL EDUCATOR is registered under the primary taxonomy Specialist (code 174400000X), licensed in NY under license number 78654.

Where does Tara Roed, SPECIAL EDUCATOR practice?

The practice location is 2707 Hylan Blvd, Staten Island, NY 10306-4657. The office can be reached at 718-851-3300 (phone).

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 1609543081 directly on the NPPES registry website.

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