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TARA CHERRELLE GILLIAM NP
NPI 1487487302
Nurse Practitioner - Adult Health in Patchogue, NY

Active since August 26, 2024
101 HOSPITAL RD, PATCHOGUE, NY 11772(631) 654-7100 Get Directions Write a Review

NPPES record last updated: August 26, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tara Cherrelle Gilliam Np NPPES

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

TARA CHERRELLE GILLIAM NP (NPI 1487487302) is an individual adult health provider in Patchogue, New York, licensed in New York (311842) and active in the NPI registry since August 2024. She maintains a secondary practice location in Centereach.

NPPES Registry Identity

NPI1487487302
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameTARA CHERRELLE GILLIAMCredential: NP
Location Address101 HOSPITAL RDPatchogue, NY 11772-4870
Mailing Address158 Mark Tree RdCentereach, NY 11720-2238 · (631) 740-7774
Phone(631) 654-7100
Sole ProprietorNo
Enumeration DateAugust 26, 2024
NPPES CertifiedAugust 25, 2024
✔ NPI 1487487302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NY · 311842
101 HOSPITAL RD, Patchogue, NY 11772
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Secondary Practice Location 1

Location 1158 Mark Tree RdCentereach, NY 11720-2238 · Phone (631) 740-7774

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.

VAISHALI MEHTA MD
Internal Medicine (Critical Care Medicine)
101 HOSPITAL RD
PATCHOGUE, NY 11772
Suffolk County (631) 654-7100
COURTNEY BOFINGER PA
Physician Assistant
101 HOSPITAL RD
PATCHOGUE, NY 11772
Suffolk County (631) 654-7100
TAHA A SIDDIQUI MD
Internal Medicine
101 HOSPITAL RD
PATCHOGUE, NY 11772
Suffolk County (631) 473-1320
NYU LANGONE HOSPITALS
Clinic/Center (Mental Health (Including Community Mental Health Center))
101 HOSPITAL RD
PATCHOGUE, NY 11772
Suffolk County (631) 654-7175
ANNETTE POPE-MORRIS PA
Physician Assistant (Medical)
101 HOSPITAL RD
PATCHOGUE, NY 11772
Suffolk County (631) 654-7100
CARLOS KIM
Student in an Organized Health Care Education/Training Program
101 HOSPITAL RD
PATCHOGUE, NY 11772
Suffolk County (631) 654-7170
MEAGHAN CHOU PA-C
Physician Assistant
101 HOSPITAL RD
PATCHOGUE, NY 11772
Suffolk County (631) 654-7100
AUSTIN DANIEL BUDHRAM PA-C
Physician Assistant (Medical)
101 HOSPITAL RD
PATCHOGUE, NY 11772
Suffolk County (631) 654-7100

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 Gilliam's NPI number?

The NPI number for Tara Gilliam is 1487487302. It was assigned to this individual provider in the NPPES registry on August 26, 2024.

Where is Tara Gilliam located?

Tara Gilliam practices at 101 Hospital Rd, Patchogue, NY 11772. The listed phone number is (631) 654-7100.

What is Tara Gilliam's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Tara Gilliam was last updated on August 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.