MRS. TARA MICHELLE NIEDZIALKOWSKI PA
NPI 1215216551
Physician Assistant - Medical in Norwich, NY

Active since August 04, 2011
55 CALVARY DR, NORWICH, NY 13815(607) 336-6362 Get Directions Write a Review

NPPES record last updated: January 3, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Tara Michelle Niedzialkowski Pa NPPES

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

MRS. TARA MICHELLE NIEDZIALKOWSKI PA (NPI 1215216551) is an individual medical provider in Norwich, New York and active in the NPI registry since August 2011.

NPPES Registry Identity

NPI1215216551
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. TARA MICHELLE NIEDZIALKOWSKICredential: PA
Location Address55 CALVARY DRNorwich, NY 13815-1032
Mailing Address43 Cleveland Ave, Apartment #2Binghamton, NY 13905-3221 · (607) 759-4832
Sole ProprietorNo
Enumeration DateAugust 4, 2011
Last NPPES UpdateJanuary 3, 2012
NPI 1215216551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
55 CALVARY DR, Norwich, NY 13815

Other Providers at the Same Location NPPES 16

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

Family Medicine
55 CALVARY DR
NORWICH, NY 13815
Family Medicine
55 CALVARY DR
NORWICH, NY 13815
Nurse Practitioner (Family)
55 CALVARY DR
NORWICH, NY 13815
Nurse Practitioner (Family)
55 CALVARY DR
NORWICH, NY 13815
Family Medicine
55 CALVARY DR
NORWICH, NY 13815
Nurse Practitioner (Family)
55 CALVARY DR
NORWICH, NY 13815
Nurse Practitioner (Family)
55 CALVARY DR
NORWICH, NY 13815
Nurse Practitioner (Family)
55 CALVARY DR
NORWICH, NY 13815

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 Niedzialkowski's NPI number?

The NPI number for Tara Niedzialkowski is 1215216551. It was assigned to this individual provider in the NPPES registry on August 4, 2011.

Where is Tara Niedzialkowski located?

Tara Niedzialkowski practices at 55 Calvary Dr, Norwich, NY 13815. The listed phone number is (607) 336-6362.

What is Tara Niedzialkowski's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Tara Niedzialkowski was last updated on January 3, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.