Provider Profile

Tara R. Nizamov, PHYSICIAN ASSISTANT

Unclaimed Profile

About Tara Nizamov

Tara R. Nizamov, PHYSICIAN ASSISTANT is a physician assistant practicing in Mount Vernon, NY. Tara trained at Mercy College, graduating in 2024. This provider record is associated with NPI 1558179093.

Factual summary compiled by Guide.md from public records; not written by this provider.

Education & Training

Specialty

Credentials & Licensing

NY licenceAs reported to the NPI registry
No. 032848As reported
NPINational Provider Identifier
1558179093Issued 2024

As reported to the NPI registry ↗

Medicare information

Accepts Medicare assignmentYes
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What is Tara R. Nizamov's specialty?

Tara R. Nizamov is a physician assistant in Mount Vernon, NY. That is the designation recorded for this NPI in the federal registry.

NPI registry

Where can I find Tara R. Nizamov?

Tara R. Nizamov is listed at 12 N 7Th Ave, Mount Vernon, NY 10550. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How do I contact Tara R. Nizamov?

The number on file is (917) 557-9895. Contact the office directly to confirm availability and scheduling.

NPI registry

What is the NPI for Tara R. Nizamov?

Tara R. Nizamov's National Provider Identifier is 1558179093. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

What is Tara R. Nizamov's education?

Tara R. Nizamov attended Mercy College, graduating in 2024. This comes from the CMS National Downloadable File.

CMS public data

How much experience does Tara R. Nizamov have?

Tara R. Nizamov has 2 years experience. Calculated from a graduation year of 2024, reported in the CMS National Downloadable File.

CMS public data

Is Tara R. Nizamov's profile verified?

Not yet. This profile is built from public federal data and has not been confirmed by Tara R. Nizamov. If this is you, claiming it is free.

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