TARA ELIZABETH CARDILLO CPNP
NPI 1740765973
Nurse Practitioner - Pediatrics in Smithtown, NY

Q: What is Tara Cardillo's NPI number?

The NPI number for Tara Cardillo is 1740765973. It was assigned to this individual provider in the NPPES registry on October 3, 2018.

Q: What is Tara Cardillo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Tara Cardillo was last updated on December 18, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 03, 2018PECOS Enrolled

260 E MIDDLE COUNTRY RD, SMITHTOWN, NY 11787(631) 444-5437 Get Directions Write a Review

NPPES record last updated: December 18, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 18, 2018, Oct 3, 2018 (2 updates tracked since 2018).

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About Tara Elizabeth Cardillo Cpnp NPPES

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

TARA ELIZABETH CARDILLO CPNP (NPI 1740765973) is an individual pediatrics provider in Smithtown, New York, licensed in New York (382893) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740765973

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameTARA ELIZABETH CARDILLOCredential: CPNP

Location Address260 E MIDDLE COUNTRY RDSmithtown, NY 11787-2982

Mailing AddressPo Box 1559Stony Brook, NY 11790-0989

Phone(631) 444-5437

Sole ProprietorNo

Enumeration DateOctober 3, 2018

Last NPPES UpdateDecember 18, 20182 updates tracked since enumeration

✔ NPI 1740765973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in NY · 382893

260 E MIDDLE COUNTRY RD, Smithtown, NY 11787

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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 (PECOS)

Tara Elizabeth Cardillo Cpnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11787 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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