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KIMBERLY D TANKASALI PA-C
NPI 1417061870
Physician Assistant - Medical in Pompton Plains, NJ

Active since August 19, 2006PECOS Enrolled
97 W PARKWAY, POMPTON PLAINS, NJ 07444(973) 831-5446 Get Directions Write a Review

NPPES record last updated: October 2, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kimberly D Tankasali Pa-c NPPES

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

KIMBERLY D TANKASALI PA-C (NPI 1417061870) is an individual medical provider in Pompton Plains, New Jersey, licensed in New Jersey (25MP00145300) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417061870
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKIMBERLY D TANKASALICredential: PA-C
Location Address97 W PARKWAYPompton Plains, NJ 07444-1647
Mailing Address97 W Parkway, C/o Emergency DepartmentPompton Plains, NJ 07444-1647 · (973) 831-5930
Phone(973) 831-5446
Sole ProprietorNo
Enumeration DateAugust 19, 2006
Last NPPES UpdateOctober 2, 2012
✔ NPI 1417061870 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
Licenses✔ Licensed in NJ · 25MP00145300✔ Licensed in NY · 010698
97 W PARKWAY, Pompton Plains, NJ 07444
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Other Identifiers 4

Medicare UPINQ60979NY
Medicare ID-Type Unspecified6085L2NY
Medicare PIN108443NJ
Medicare PIN108443WJ8NJ

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly D Tankasali 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.

Areas of Expertise CMS Part B claims 3

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
139 services137 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
139 services132 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
39 services38 patients

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.

MRS. CAROL HAMILTON RN, BSN, CNOR, RNFA
Registered Nurse (Registered Nurse First Assistant)
97 W PARKWAY
POMPTON PLAINS, NJ 07444
Morris County (973) 831-5140
DR. ANIRUDH KAPOOR M.D.
Psychiatry & Neurology (Neurology)
97 W PARKWAY
POMPTON PLAINS, NJ 07444
Morris County (908) 522-2829
DR. PEDRO JAVIER COLON ORTIZ MD
Internal Medicine
97 W PARKWAY
POMPTON PLAINS, NJ 07444
Morris County (973) 831-5000
DARIA JANNUZZI M.A., CCC-SLP
Speech-Language Pathologist
97 W PARKWAY
POMPTON PLAINS, NJ 07444
Morris County (973) 831-5000
YASEEN BASEER
Hospitalist
97 W PARKWAY
POMPTON PLAINS, NJ 07444
Morris County (973) 831-5000
MR. DANIEL ALEX MISA RN
Registered Nurse (Continuing Education/Staff Development)
97 W PARKWAY
POMPTON PLAINS, NJ 07444
Morris County (732) 413-9026
DR. HAROLD DELALEU M.D.
Anesthesiology
97 W PARKWAY, DEPARTMENT OF ANESTHESIA
POMPTON PLAINS, NJ 07444
Morris County (973) 831-5000
DR. STUART ARTHUR SEIGAL M.D.
Obstetrics & Gynecology
97 W PARKWAY
POMPTON PLAINS, NJ 07444
Morris County (973) 831-5000

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 Kimberly Tankasali's NPI number?

The NPI number for Kimberly Tankasali is 1417061870. It was assigned to this individual provider in the NPPES registry on August 19, 2006.

Where is Kimberly Tankasali located?

Kimberly Tankasali practices at 97 W Parkway, Pompton Plains, NJ 07444. The listed phone number is (973) 831-5446.

What is Kimberly Tankasali's specialty?

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

Is Kimberly Tankasali enrolled in Medicare?

Yes. Kimberly Tankasali is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kimberly Tankasali was last updated on October 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.