MRS. TARA N. LUYSTER (NPI# 1265723522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265723522 |
| Entity Type | Individual |
| Full Name | MRS. TARA N. LUYSTER |
| Other Name | MS. TARA N. GIBNEY |
| Credential | PA-C |
| Practice Address |
3219 E Tremont Ave Bronx NY 10461-5751 |
| Mailing Address |
1 Healthy Way Oceanside NY 11572-1551 |
| Practice Telephone | 7187928115 |
| Mailing Telephone | 5166323000 |
| Enumeration Date | 2011-04-21 |
| Last Update Date | 2017-05-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | PA00591 | RI | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
014723 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | MEDICARE PTAN | 0021424 | 01 |
| RI | TG84594 | 05 |
| Street Address |
3219 E TREMONT AVE |
| City | BRONX |
| State | NY |
| Zip Code | 10461-5751 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871517177 | Francis J Porreca | Surgery | 3219 E Tremont Ave, Ste 1, Bronx, NY 10461-5751 | 2006-07-27 |
| 1639412018 | Eric Benjamin Trestman | Surgery | 3219 E Tremont Ave, Bronx, NY 10461-5751 | 2013-04-03 |
| 1235413139 | Avrille Y Davis | Clinical Nurse Specialist | 3219 E Tremont Ave, Bronx, NY 10461-5751 | 2011-10-11 |
| 1306099320 | Empire State Orthopaedics, Pllc | Orthopaedic Surgery | 3219 E Tremont Ave, Bronx, NY 10461-5751 | 2008-11-04 |
| 1427227743 | Nyconn Orthopaedic & Rehabilitation Specialists, Pllc | Physical Medicine & Rehabilitation | 3219 E Tremont Ave, Bronx, NY 10461-5751 | 2008-02-21 |
| 1942420427 | Lorna Perez Saa | Specialist | 3219 E Tremont Ave, Complete Spinal Rehabilitation, Ll3, Bronx, NY 10461-5751 | 2007-04-26 |
| 1386715787 | Sancor Medical Enterprises LLC | Radiology | 3219 E Tremont Ave, Ll2, Bronx, NY 10461-5751 | 2006-11-10 |
| 1538243209 | Montefiore Medical Center | Surgery | 3219 E Tremont Ave, Bronx, NY 10461-5751 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427665975 | Zhanna Kleynerman | Pharmacist | R&a Drugs Inc, 2562 Est Tremont Ave, Bronx, NY 10461 | 2020-09-29 |
| 1245867738 | Dalia Duzdar | Student in an Organized Health Care Education/Training Program | 1400 Pelham Pkwy S Building 6, Suite B125, Bronx, NY 10461 | 2020-03-24 |
| 1306486667 | Alvin Antony Mathew | Physical Therapist | 1500 Blondell Ave., Bronx, NY 10461 | 2020-01-14 |
| 1295374007 | Felicia Bowman | Peer Specialist | 55 Westchester Square Bronx, 55 Westchester Square Bronx, Bronx, NY 10461 | 2019-12-26 |
| 1477191161 | Todd Benevento Jr. | Physical Therapist | 1250 Waters Place Tower One 10th Floor, Bronx, NY 10461 | 2019-12-13 |
| 1073173845 | Harriet Sarpong-blankson | Pharmacist | Jack D Weiler Hospital, 1825 Eastchester Road, Bronx, NY 10461 | 2019-06-14 |
| 1396300166 | Victoria Sliva | Psychologist | 1400 Pelham Pkwy S Bldg 19w, Bldg 1, 9w, Bronx, NY 10461 | 2019-05-07 |
| 1538723366 | Shuai Wang | Student in an Organized Health Care Education/Training Program | 1400 Pelham Parkway South Jacobi Medical Center, Bronx, NY 10461 | 2019-04-26 |
| 1457810079 | Morpheus Sleep Solutions Inc | Durable Medical Equipment & Medical Supplies | 3004 Middletown Road, Lower Level Unit 1, Bronx, NY 10461 | 2019-03-13 |
| 1922565118 | Metro Care Management LLC | Case Management | 2481 Rowe St, Bronx, NY 10461 | 2019-02-25 |
| Find all providers in zip 10461 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629574348 | Viresh Ramnarayan | Physician Assistant | 1970 E Tremont Ave Apt 5c, Bronx, NY 10462-5658 | 2018-04-02 |
| 1871948620 | Klementina Koci | Physician Assistant | 3400 Bainbridge Ave Fl Map33, Bronx, NY 10467-2404 | 2016-04-29 |
| 1134503931 | Lindsay Averill | Physician Assistant | 1400 Pelham Pkwy S Ste 1213, Bronx, NY 10461 | 2015-07-13 |
| 1942693486 | Oumou Drame | Physician Assistant | 785 Courtlandt Ave Apt 15c, Bronx, NY 10451-4324 | 2015-03-09 |
| 1477734804 | Dimitra Mitsianis | Physician Assistant | 234 Eugenio Maria De Hostos 149th St, Department of Surgery, Bronx, NY 10451-5504 | 2007-11-14 |
| 1518151885 | Brenda Jean Vecchione | Physician Assistant | 3rd Ave & 183 St., Bronx, NY 10457 | 2007-08-30 |
| 1467597369 | Kwabena Ntiamoah | Physician Assistant | 1276 Fulton Ave. Bronx Lebanon Hospital, Dept. of Psychiatry, 1276 Fulton Ave, Bronx, NY 10456 | 2007-02-20 |
| 1851443311 | Svetlana Tovt | Physician Assistant | 234 E149 Street, Room 6-20, Bronx, NY 10706 | 2007-01-17 |
| 1649335274 | Andrew Walter Douglas | Physician Assistant | 3rd Ave and 183rd Str, Bronx, NY 10457-2594 | 2006-12-26 |
| 1619584612 | Sallee Reynolds Mathews | Physician Assistant | 600 E 233rd St, Bronx, NY 10466-2604 | 2020-09-24 |
| Find all providers in BRONX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.