NICHOLAS TAMBORRA LMHC
NPI 1316465818
Counselor - Mental Health in Staten Island, NY

Active since September 05, 2017PECOS EnrolledAccepts Medicare Assignment
1765 SOUTH AVE, STATEN ISLAND, NY 10314(718) 982-6982 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nicholas Tamborra Lmhc NPPES

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

NICHOLAS TAMBORRA LMHC (NPI 1316465818) is an individual mental health provider in Staten Island, New York, licensed in New York (007887) and active in the NPI registry since September 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1316465818
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameNICHOLAS TAMBORRACredential: LMHC
Location Address1765 SOUTH AVEStaten Island, NY 10314-3604
Mailing Address1765 South AveStaten Island, NY 10314-3604 · (718) 982-6982
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 5, 2017
Last NPPES UpdateJuly 21, 2022
NPI 1316465818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in NY · 007887
1765 SOUTH AVE, Staten Island, NY 10314

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

Nicholas Tamborra Lmhc 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 ID8426409053
PECOS Enrollment IDI20240109000582
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.

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.

Behavior Technician
1765 SOUTH AVE
STATEN ISLAND, NY 10314
Social Worker
1765 SOUTH AVE
STATEN ISLAND, NY 10314
Social Worker
1765 SOUTH AVE
STATEN ISLAND, NY 10314
Social Worker
1765 SOUTH AVE
STATEN ISLAND, NY 10314
Social Worker
1765 SOUTH AVE
STATEN ISLAND, NY 10314
Social Worker
1765 SOUTH AVE
STATEN ISLAND, NY 10314
Social Worker
1765 SOUTH AVE
STATEN ISLAND, NY 10314
Behavior Analyst
1765 SOUTH AVE
STATEN ISLAND, NY 10314

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 Nicholas Tamborra's NPI number?

The NPI number for Nicholas Tamborra is 1316465818. It was assigned to this individual provider in the NPPES registry on September 5, 2017.

Where is Nicholas Tamborra located?

Nicholas Tamborra practices at 1765 South Ave, Staten Island, NY 10314. The listed phone number is (718) 982-6982.

What is Nicholas Tamborra's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Nicholas Tamborra enrolled in Medicare?

Yes. Nicholas Tamborra 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.

When was this NPI record last updated?

The NPPES record for Nicholas Tamborra was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.