Active NPIIndividual providerSole proprietor

Mrs. Tara M Piccolo, NURSE PRACITIONER

Nurse Practitioner in Anglewood, New Jersey

NPI Number1861104515
Practice location
350 Angle Street, Anglewood, NJ 07631
Fax
—
Last updated
December 14, 2022

Tara Marie Piccolo is a Nurse Practitioner based in Anglewood, NJ. Tara Marie Piccolo practices in Anglewood, NJ and has the professional credentials of NURSE PRACITIONER. The NPI Number for Tara Marie Piccolo is 1861104515 and holds a License No. 26nj01402700 (NJ). The current practice location address for Tara Marie Piccolo is 350 Angle Street, Anglewood, NJ 07631 and can be reached out via phone at 201-894-3000.

Provider Profile Details

NPI Number
1861104515
Provider Name
Tara Marie Piccolo
Credential
NURSE PRACITIONER
Provider Entity Type
Individual
Gender
Female
Address
350 Angle Street, Anglewood, NJ 07631
Phone Number
201-894-3000
Primary Taxonomy
Nurse Practitioner · 363L00000X
Sole Proprietor
Yes
Provider Enumeration Date
December 14, 2022
Last Update Date
December 14, 2022
Certification Date
December 14, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
350 Angle Street
Anglewood, NJ 07631
Zip
07631
Phone Number
201-894-3000
Anglewood, NJ 07631Get directions →

Provider Business Mailing Address Details

Address
478 Abbott Avenue
Ridgefield, NJ 07657
City
Ridgefield
State
NJ
Zip
07657
Phone Number
201-334-6634

License Information

License Number
26nj01402700
License State
NJ
Taxonomy
Nurse Practitioner · 363L00000X · 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 Mrs. Tara M Piccolo, NURSE PRACITIONER?

The NPI number of Mrs. Tara M Piccolo, NURSE PRACITIONER is 1861104515. It was assigned on December 14, 2022 and is currently active in the NPPES registry.

What is the specialty of Mrs. Tara M Piccolo, NURSE PRACITIONER?

Mrs. Tara M Piccolo, NURSE PRACITIONER is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in NJ under license number 26nj01402700.

Where does Mrs. Tara M Piccolo, NURSE PRACITIONER practice?

The practice location is 350 Angle Street, Anglewood, NJ 07631. The office can be reached at 201-894-3000 (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 1861104515 directly on the NPPES registry website.

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