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TARA MARIE VANDERBURG PA-C
NPI 1386085082
Physician Assistant in Great Neck, NY

Active since July 10, 2013PECOS Enrolled
611 NORTHERN BLVD, SUITE 200, GREAT NECK, NY 11021(516) 723-2663 Get Directions Write a Review

NPPES record last updated: August 4, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tara Marie Vanderburg Pa-c NPPES

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

TARA MARIE VANDERBURG PA-C (NPI 1386085082) is an individual physician assistant in Great Neck, New York, licensed in New York (016642) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386085082
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameTARA MARIE VANDERBURGCredential: PA-C
Location Address611 NORTHERN BLVD, SUITE 200Great Neck, NY 11021-5207
Mailing Address611 Northern Blvd, Suite 200Great Neck, NY 11021-5207 · (516) 723-2663
Phone(516) 723-2663
Sole ProprietorYes
Enumeration DateJuly 10, 2013
Last NPPES UpdateAugust 4, 2016
✔ NPI 1386085082 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 · 016642
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.
611 NORTHERN BLVD, Great Neck, NY 11021
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tara Marie Vanderburg Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11021 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
2 suppliers26 claims26 services$38.52 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. ROHIT BINOD VERMA MD
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
611 NORTHERN BLVD, SUITE 200
GREAT NECK, NY 11021
Nassau County (516) 723-2663
JAU-ANN TSAI MD
Radiology (Diagnostic Radiology)
611 NORTHERN BLVD
GREAT NECK, NY 11021
Nassau County (516) 233-3456
RICHARD T MILLER DMD PC
Dentist
611 NORTHERN BLVD
GREAT NECK, NY 11021
Nassau County (516) 708-4019
ERICA COLLIGAN M.D.
Psychiatry & Neurology (Neurology)
611 NORTHERN BLVD, SUITE 150
GREAT NECK, NY 11021
Nassau County (516) 325-7000
CHANTAL GANCI FNP
Nurse Practitioner (Family)
611 NORTHERN BLVD
GREAT NECK, NY 11021
Nassau County (516) 723-2663
DR. ARIEL TENNY GOLDMAN M.D.
Orthopaedic Surgery
611 NORTHERN BLVD, SUITE 200
GREAT NECK, NY 11021
Nassau County (516) 723-2663
PUTTACHAT P TAYLOR NP
Nurse Practitioner (Adult Health)
611 NORTHERN BLVD
GREAT NECK, NY 11021
Nassau County (516) 570-4400
LAKSHMI NAIR NP
Nurse Practitioner (Acute Care)
611 NORTHERN BLVD
GREAT NECK, NY 11021
Nassau County (516) 325-7000

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 Vanderburg's NPI number?

The NPI number for Tara Vanderburg is 1386085082. It was assigned to this individual provider in the NPPES registry on July 10, 2013.

Where is Tara Vanderburg located?

Tara Vanderburg practices at 611 Northern Blvd Suite 200, Great Neck, NY 11021. The listed phone number is (516) 723-2663.

What is Tara Vanderburg's specialty?

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

Is Tara Vanderburg enrolled in Medicare?

Yes. Tara Vanderburg is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tara Vanderburg was last updated on August 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.