Provider Profile
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.
Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.
12 N 7TH AVE
Mount Vernon, NY 10550
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
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
The number on file is (917) 557-9895. Contact the office directly to confirm availability and scheduling.
NPI registry
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
Tara R. Nizamov attended Mercy College, graduating in 2024. This comes from the CMS National Downloadable File.
CMS public data
Tara R. Nizamov has 2 years experience. Calculated from a graduation year of 2024, reported in the CMS National Downloadable File.
CMS public data
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.
Guide.md
Guide.md listings do not constitute medical advice or an endorsement.