TABETHA TANAE TYNDALE NURSE PRACTITIONER
NPI 1508013442
Nurse Practitioner - Gerontology in Staten Island, NY
About Tabetha Tanae Tyndale Nurse Practitioner NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TABETHA TANAE TYNDALE NURSE PRACTITIONER (NPI 1508013442) is an individual gerontology provider in Staten Island, New York, licensed in New York (310924) and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses 2
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
Tabetha Tanae Tyndale Nurse Practitioner 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10305 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Tabetha Tyndale's NPI number?
The NPI number for Tabetha Tyndale is 1508013442. It was assigned to this individual provider in the NPPES registry on August 21, 2008.
Where is Tabetha Tyndale located?
Tabetha Tyndale practices at 1477 Hylan Blvd, Staten Island, NY 10305. The listed phone number is (718) 979-6900.
What is Tabetha Tyndale's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.
Is Tabetha Tyndale enrolled in Medicare?
Yes. Tabetha Tyndale 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 Tabetha Tyndale was last updated on February 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Tabetha Tanae Tyndale, NURSE PRACTITIONER · NPI 1508013442
Gerontology physician in Staten Island, New York. Individual provider, active in the CMS NPPES registry since August 21, 2008.
## Identity
- **NPI:** 1508013442 (Entity type: Individual)
- **Enumerated:** August 21, 2008
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **State license:** 310924 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1477 HYLAN BLVD, Staten Island, NY 10305-1906
- **Phone:** (718) 979-6900
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** February 20, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1508013442) · Data from the CMS NPPES public registry.