TARA LYNN ZICKERMAN P.A.
NPI 1093840605
Physician Assistant in Roslyn, NY

Active since February 22, 2007PECOS EnrolledAccepts Medicare Assignment
100 PORT WASHINGTON BLVD, ROSLYN, NY 11576(516) 338-5300 Get Directions Write a Review

NPPES record last updated: April 3, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tara Lynn Zickerman P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TARA LYNN ZICKERMAN P.A. (NPI 1093840605) is an individual physician assistant in Roslyn, New York, licensed in New York (006110) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS, is affiliated with St Francis Hospital - The Heart Center, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1093840605
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameTARA LYNN ZICKERMANCredential: P.A.
Location Address100 PORT WASHINGTON BLVDRoslyn, NY 11576-1353
Mailing AddressPo Box 1048Port Washington, NY 11050-1048 · (516) 338-5300
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateFebruary 22, 2007
Last NPPES UpdateApril 3, 2009
NPI 1093840605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NY · 006110
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
100 PORT WASHINGTON BLVD, Roslyn, NY 11576

Other Names 1

Former Name (1)Tara Lynn Cunningham P.a.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Tara Lynn Zickerman P.a. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5890844559
PECOS Enrollment IDI20090529000043
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
21 services20 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
16 services16 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Francis Hospital - The Heart Center

Acute Care Hospitals · Roslyn, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330182
Location100 Port Washington BoulevardRoslyn, NY 11576 · Nassau County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11576 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Acute Care)
100 PORT WASHINGTON BLVD
ROSLYN, NY 11576
Internal Medicine (Clinical Cardiac Electrophysiology)
100 PORT WASHINGTON BLVD
ROSLYN, NY 11576
Physician Assistant
100 PORT WASHINGTON BLVD
ROSLYN, NY 11576
Pediatrics (Pediatric Cardiology)
100 PORT WASHINGTON BLVD, SUITE 108
ROSLYN, NY 11576
Physician Assistant
100 PORT WASHINGTON BLVD
ROSLYN, NY 11576
Physician Assistant
100 PORT WASHINGTON BLVD
ROSLYN, NY 11576
Emergency Medicine
100 PORT WASHINGTON BLVD, DEPT OF EMERGENCY MEDICINE
ROSLYN, NY 11576
Nurse Practitioner (Family)
100 PORT WASHINGTON BLVD, ST. FRANCIS HOSPITAL EMERGENCY ROOM
ROSLYN, NY 11576

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tara Zickerman's NPI number?

The NPI number for Tara Zickerman is 1093840605. It was assigned to this individual provider in the NPPES registry on February 22, 2007. The provider is also known as Tara Lynn Cunningham P.A..

Where is Tara Zickerman located?

Tara Zickerman practices at 100 Port Washington Blvd, Roslyn, NY 11576. The listed phone number is (516) 338-5300.

What is Tara Zickerman's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Tara Zickerman enrolled in Medicare?

Yes. Tara Zickerman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Tara Zickerman affiliated with any hospitals?

According to CMS data, Tara Zickerman is affiliated with St Francis Hospital - The Heart Center.

When was this NPI record last updated?

The NPPES record for Tara Zickerman was last updated on April 3, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.