1. Home
  2. Directory
  3. New Jersey
  4. Clark
  5. Physician Assistant
  6. NPI Profile

TARA PRISCO PA
NPI 1508017534
Physician Assistant - Medical in Clark, NJ

Active since October 08, 2008PECOS Enrolled
999 RARITAN RD, CLARK, NJ 07066(732) 381-9418(732) 381-3733 Get Directions Write a Review

NPPES record last updated: October 8, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tara Prisco Pa NPPES

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

TARA PRISCO PA (NPI 1508017534) is an individual medical provider in Clark, New Jersey, licensed in New Jersey (25MP00124200) and active in the NPI registry since October 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508017534
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameTARA PRISCOCredential: PA
Location Address999 RARITAN RDClark, NJ 07066-1757
Mailing Address999 Raritan RdClark, NJ 07066-1757 · (732) 381-9418 · Fax (732) 381-3733
Phone(732) 381-9418
Fax(732) 381-3733
Sole ProprietorNo
Enumeration DateOctober 8, 2008
✔ NPI 1508017534 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
License✔ Licensed in NJ · 25MP00124200
999 RARITAN RD, Clark, NJ 07066
Open in Google Maps ↗

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 Prisco Pa 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.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. ROGER MAITLAND PHD PSYCHOLOGY
Psychologist
999 RARITAN RD
CLARK, NJ 07066
Union County (732) 381-6118
JOSEPH EDWARD OCHS MA , LPC
Specialist
999 RARITAN RD, BOX 885
CLARK, NJ 07066
Union County (732) 381-6118
NEW JERSEY DIGESTIVE DISEASE ASSOCIATES, PC
Internal Medicine (Gastroenterology)
999 RARITAN RD
CLARK, NJ 07066
Union County (732) 499-8000
DR. NEIL MICHAEL S ESTRELLA M.D.
Internal Medicine
999 RARITAN RD
CLARK, NJ 07066
Union County (732) 381-3740
DING ACUPUNCTURE AND HERB CENTER P.C.
Acupuncturist
999 RARITAN RD
CLARK, NJ 07066
Union County (732) 388-8828
JIHONG DING C.A.
Acupuncturist
999 RARITAN RD
CLARK, NJ 07066
Union County (732) 388-8828

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 Prisco's NPI number?

The NPI number for Tara Prisco is 1508017534. It was assigned to this individual provider in the NPPES registry on October 8, 2008.

Where is Tara Prisco located?

Tara Prisco practices at 999 Raritan Rd, Clark, NJ 07066. The listed phone number is (732) 381-9418.

What is Tara Prisco's specialty?

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

Is Tara Prisco enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Tara Prisco was last updated on October 8, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.