TARA MCDERMOTT-BANTA
NPI 1124381025
Specialist in Massapequa, NY

Active since June 17, 2012
107 HAMPTON BLVD, MASSAPEQUA, NY 11758(516) 205-8822 Get Directions Write a Review

NPPES record last updated: April 11, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tara Mcdermott-banta NPPES

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

TARA MCDERMOTT-BANTA (NPI 1124381025) is an individual specialist in Massapequa, New York, licensed in New York (515741041) and active in the NPI registry since June 2012.

NPPES Registry Identity

NPI1124381025
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameTARA MCDERMOTT-BANTA
Location Address107 HAMPTON BLVDMassapequa, NY 11758-7364
Mailing Address107 Hampton BlvdMassapequa, NY 11758-7364 · (516) 205-8822
Sole ProprietorYes
Enumeration DateJune 17, 2012
Last NPPES UpdateApril 11, 2022
NPPES CertifiedApril 11, 2022
NPI 1124381025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in NY · 515741041
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

107 HAMPTON BLVD, Massapequa, NY 11758

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 Mcdermott-banta's NPI number?

The NPI number for Tara Mcdermott-banta is 1124381025. It was assigned to this individual provider in the NPPES registry on June 17, 2012.

Where is Tara Mcdermott-banta located?

Tara Mcdermott-banta practices at 107 Hampton Blvd, Massapequa, NY 11758. The listed phone number is (516) 205-8822.

What is Tara Mcdermott-banta's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Tara Mcdermott-banta was last updated on April 11, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.