TAREQ COBURN PA-C
NPI 1487485660
Physician Assistant in Bronx, NY

Active since August 09, 2024PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: February 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tareq Coburn Pa-c NPPES

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

TAREQ COBURN PA-C (NPI 1487485660) is an individual physician assistant in Bronx, New York, licensed in New York (032526) and active in the NPI registry since August 2024. He is enrolled in Medicare PECOS, is affiliated with St Barnabas Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1487485660
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameTAREQ COBURNCredential: PA-C
Location Address4422 3RD AVEBronx, NY 10457-2594
Mailing Address4422 3rd AveBronx, NY 10457-2594
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 9, 2024
Last NPPES UpdateFebruary 27, 2026
NPPES CertifiedFebruary 27, 2026
NPI 1487485660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NY · 032526
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.
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License 032526 (NY)
4422 3RD AVE, Bronx, NY 10457

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

Tareq Coburn Pa-c 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 ID6103357645
PECOS Enrollment IDI20241008001562
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Barnabas Hospital

Acute Care Hospitals · Bronx, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330399
Location4422 Third AvenueBronx, NY 10457 · Bronx County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10457 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.

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.

Emergency Medicine
4422 3RD AVE
BRONX, NY 10457
Pharmacist
4422 3RD AVE
BRONX, NY 10457
Dermatology
4422 3RD AVE
BRONX, NY 10457
Student in an Organized Health Care Education/Training Program
4422 3RD AVE
BRONX, NY 10457
Student in an Organized Health Care Education/Training Program
4422 3RD AVE
BRONX, NY 10457
Advanced Practice Midwife
4422 3RD AVE
BRONX, NY 10457
Internal Medicine
4422 3RD AVE
BRONX, NY 10457
Student in an Organized Health Care Education/Training Program
4422 3RD AVE
BRONX, NY 10457

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 Tareq Coburn's NPI number?

The NPI number for Tareq Coburn is 1487485660. It was assigned to this individual provider in the NPPES registry on August 9, 2024.

Where is Tareq Coburn located?

Tareq Coburn practices at 4422 3rd Ave, Bronx, NY 10457. The listed phone number is (718) 960-9000.

What is Tareq Coburn's specialty?

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

Is Tareq Coburn enrolled in Medicare?

Yes. Tareq Coburn 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.

Is Tareq Coburn affiliated with any hospitals?

According to CMS data, Tareq Coburn is affiliated with St Barnabas Hospital.

When was this NPI record last updated?

The NPPES record for Tareq Coburn was last updated on February 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.