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TARA RENEE O'DONNELL PA-C
NPI 1609763283
Physician Assistant in Hackensack, NJ

Active since June 18, 2025PECOS EnrolledAccepts Medicare Assignment
20 PROSPECT AVE STE 903, HACKENSACK, NJ 07601(551) 228-2208 Get Directions Write a Review

NPPES record last updated: June 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tara Renee O'donnell Pa-c NPPES

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

TARA RENEE O'DONNELL PA-C (NPI 1609763283) is an individual physician assistant in Hackensack, New Jersey and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS, is affiliated with Hackensack University Medical Center, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1609763283
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameTARA RENEE O'DONNELLCredential: PA-C
Location Address20 PROSPECT AVE STE 903Hackensack, NJ 07601-1999
Mailing AddressPo Box 1093Island Heights, NJ 08732-1093 · (732) 703-5915
Phone(551) 228-2208
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJune 18, 2025
NPPES CertifiedJune 18, 2025
✔ NPI 1609763283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
20 PROSPECT AVE STE 903, Hackensack, NJ 07601
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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

Tara Renee O'donnell 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 ID3072018878
PECOS Enrollment IDI20250923003949
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.

Hackensack University Medical Center

Acute Care Hospitals · Hackensack, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310001
Location30 Prospect AveHackensack, NJ 07601 · Bergen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07601 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
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

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

DR. DARREN LYNDON SULTAN MD
Plastic Surgery (Surgery of the Hand)
20 PROSPECT AVE STE 903
HACKENSACK, NJ 07601
Bergen County (732) 426-3420

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 O'donnell's NPI number?

The NPI number for Tara O'donnell is 1609763283. It was assigned to this individual provider in the NPPES registry on June 18, 2025.

Where is Tara O'donnell located?

Tara O'donnell practices at 20 Prospect Ave Ste 903, Hackensack, NJ 07601. The listed phone number is (551) 228-2208.

What is Tara O'donnell's specialty?

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

Is Tara O'donnell enrolled in Medicare?

Yes. Tara O'donnell 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 Tara O'donnell affiliated with any hospitals?

According to CMS data, Tara O'donnell is affiliated with Hackensack University Medical Center.

When was this NPI record last updated?

The NPPES record for Tara O'donnell was last updated on June 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.