TARA ELIZABETH CARDILLO (NPI# 1740765973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740765973 |
| Entity Type | Individual |
| Full Name | TARA ELIZABETH CARDILLO |
| Credential | CPNP |
| Practice Address |
260 E Middle Country Rd Smithtown NY 11787-2982 |
| Mailing Address |
Po Box 1559 Stony Brook NY 11790-0989 |
| Practice Telephone | 6314445437 |
| Enumeration Date | 2018-10-03 |
| Last Update Date | 2018-12-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
382893 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
260 E MIDDLE COUNTRY RD |
| City | SMITHTOWN |
| State | NY |
| Zip Code | 11787-2982 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669470829 | Andrew N. Bainnson | Ophthalmology | 260 E Middle Country Rd, Suite 201, Smithtown, NY 11787-2982 | 2005-07-12 |
| 1134752355 | Katelin Tambasco | Nurse Practitioner | 260 E Middle Country Rd, Smithtown, NY 11787-2982 | 2020-02-17 |
| 1285018101 | Deborah Label | Audiologist | 260 E Middle Country Rd, Suite 201, Smithtown, NY 11787-2982 | 2015-07-10 |
| 1013331693 | Amy Cavallo | Audiologist | 260 E Middle Country Rd, Suite 201, Smithtown, NY 11787-2982 | 2014-02-18 |
| 1801237425 | Anthony Vincent Zizzamia | Podiatrist | 260 E Middle Country Rd, Suite 104, Smithtown, NY 11787-2982 | 2013-07-11 |
| 1659690485 | Alexis Christine Santiago Drakatos | Pediatrics | 260 E Middle Country Rd, Suite 107, Smithtown, NY 11787-2982 | 2010-05-18 |
| 1013142314 | Stephen Littman | Specialist | 260 E Middle Country Rd, Suite 214, Smithtown, NY 11787-2982 | 2009-05-16 |
| 1467687756 | Lori J Ellis | Pediatrics | 260 E Middle Country Rd, Suite 107, Smithtown, NY 11787-2982 | 2009-05-15 |
| 1669633418 | Faye Knoll | Ophthalmology | 260 E Middle Country Rd, Suite 201, Smithtown, NY 11787-2982 | 2008-06-24 |
| 1336315753 | John Mauro | Ophthalmology | 260 E Middle Country Rd, Suite 201, Smithtown, NY 11787-2982 | 2008-05-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962779 | Gwendolyn Burris | Counselor | 20 Gilbert Avenue, Suite 107-a, Smithtown, NY 11787 | 2020-11-04 |
| 1467051193 | Karin M Caro | Adult Companion | 9 Three Pond Road, Smithtown, NY 11787 | 2020-10-23 |
| 1639706641 | Nimit Khara | Student in an Organized Health Care Education/Training Program | 240 Middle Country Rd A, Smithtown, NY 11787 | 2020-03-27 |
| 1003469032 | Maria Teresa Gardella | Nurse Practitioner | St. Catherine of Siena Medical Center, 50 Ny-25a, Smithtown, NY 11787 | 2019-07-18 |
| 1558922070 | Pamella Ann Grillo | Physician Assistant | 373 Ny-111 #5, Smithtown, NY 11787 | 2019-06-25 |
| 1306308127 | Sherry Hansen | Social Worker | 285 Middle Country Rd, Suite Ll5, Smithtown, NY 11787 | 2019-04-01 |
| 1932663747 | Kayla Roundsman | Counselor | 11 Route 11, Smithtown, NY 11787 | 2019-01-25 |
| 1568959856 | Moreen Johnson | Registered Nurse | Christian Nursing Registry, 17 Bank Ave, Smith Town, NY 11787 | 2018-04-23 |
| 1992217871 | Erica Zeller Licensed Clinical Social Work Pllc | Social Worker | 15 Bellemeade Ave Ste 3, Smithtown, NY 11787 | 2017-10-31 |
| 1881117802 | Oisin Vincent Keenan | Case Manager/Care Coordinator | 11 Ny-111, Smithtown, NY 11787 | 2017-07-21 |
| Find all providers in zip 11787 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114578416 | Jessica Wood Pediatric Nurse Practitioner Pllc | Nurse Practitioner | 363 Route 111 Ste 103, Smithtown, NY 11787-4750 | 2019-09-27 |
| 1215266515 | Judith Murphy | Nurse Practitioner | 300 E Main St, Suite 5, Smithtown, NY 11787-2900 | 2009-12-15 |
| 1396876165 | Laureen Catalano | Nurse Practitioner | 269 E Main St, Smith Haven Pediatrics, Smithtown, NY 11787 | 2007-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932709821 | Shu-heng Wang | Nurse Practitioner | 7324 18th Ave, Brooklyn, NY 11204-5678 | 2020-10-29 |
| 1952909012 | Marina Byshovets | Nurse Practitioner | 164 Admiralty Loop, Staten Island, NY 10309-3964 | 2020-10-12 |
| 1700483799 | Dmitry Pediatrics, Pediatric Nurse Practitioner PC | Nurse Practitioner | 10 Shore Blvd Apt 1g, Brooklyn, NY 11235-4022 | 2020-10-03 |
| 1427664572 | Leigh Ann Cohen | Nurse Practitioner | 2 Lincoln Ave Ste 301, Rockville Centre, NY 11570-5775 | 2020-09-23 |
| 1295341436 | Tatiana Margaret Masone | Nurse Practitioner | 3142 Victory Blvd, Staten Island, NY 10314-6717 | 2020-09-22 |
| 1992311567 | Jyneva W Pickel | Nurse Practitioner | 3959 Broadway Rm 722, New York, NY 10032-1559 | 2020-09-19 |
| 1902410186 | Katie Elise Boyd | Nurse Practitioner | 725 Irving Ave Ste 504, Syracuse, NY 13210-1683 | 2020-09-03 |
| 1437763877 | Tiffany Yu | Nurse Practitioner | 1746 W 12th St, Brooklyn, NY 11223-1101 | 2020-09-02 |
| 1134733710 | Khristan Heagle Haller | Nurse Practitioner | 20 Locust Ln, Bronxville, NY 10708-4933 | 2020-09-01 |
| 1831703412 | Marijana Waite | Nurse Practitioner | 6544 Saunders St Apt A7, Rego Park, NY 11374-4209 | 2020-09-01 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on TARA ELIZABETH CARDILLO.
| 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.