MISS KIMBERLY ANNE TARDALO FNP
NPI 1639618275
Nurse Practitioner - Family in New York, NY
About Miss Kimberly Anne Tardalo Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MISS KIMBERLY ANNE TARDALO FNP (NPI 1639618275) is an individual family provider in New York, New York, licensed in New York (341458) and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS, is affiliated with Nyu Langone Hospitals, and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Miss Kimberly Anne Tardalo Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kimberly Tardalo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Boynton Beach, FL 33426
- Reassigned Medicare billing, New York enrollment
- 7,712 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Nyu Langone Hospitals
Acute Care Hospitals · New York, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10016 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.
NEW YORK, NY 10016
NEW YORK, NY 10016
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 Kimberly Tardalo's NPI number?
The NPI number for Kimberly Tardalo is 1639618275. It was assigned to this individual provider in the NPPES registry on February 15, 2017.
Where is Kimberly Tardalo located?
Kimberly Tardalo practices at 160 E 34th St, New York, NY 10016. The listed phone number is (212) 731-5366.
What is Kimberly Tardalo's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kimberly Tardalo enrolled in Medicare?
Yes. Kimberly Tardalo is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kimberly Tardalo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Tardalo reassigns Medicare benefits to New York University (Boynton Beach, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kimberly Tardalo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Kimberly Tardalo affiliated with any hospitals?
According to CMS data, Kimberly Tardalo is affiliated with Nyu Langone Hospitals.
When was this NPI record last updated?
The NPPES record for Kimberly Tardalo was last updated on October 30, 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.
# Miss Kimberly Anne Tardalo, FNP · NPI 1639618275
Family physician in New York, New York. Individual provider, active in the CMS NPPES registry since February 15, 2017.
## Identity
- **NPI:** 1639618275 (Entity type: Individual)
- **Enumerated:** February 15, 2017
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 341458 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 160 E 34TH ST, New York, NY 10016-4744
- **Phone:** (212) 731-5366
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** New York University (NPI 1285826438, Boynton Beach, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** October 30, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1639618275) · Data from the CMS NPPES public registry.