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MRS. TARA MARIE PICCOLO NURSE PRACITIONER
NPI 1861104515
Nurse Practitioner in Anglewood, NJ

Active since December 14, 2022PECOS EnrolledAccepts Medicare Assignment
350 ANGLE STREET, ANGLEWOOD, NJ 07631(201) 894-3000 Get Directions Write a Review

NPPES record last updated: December 14, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Mrs. Tara Marie Piccolo Nurse Pracitioner NPPES

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

MRS. TARA MARIE PICCOLO NURSE PRACITIONER (NPI 1861104515) is an individual nurse practitioner in Anglewood, New Jersey, licensed in New Jersey (26NJ01402700) and active in the NPI registry since December 2022. She is enrolled in Medicare PECOS, is affiliated with Englewood Hospital And Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1861104515
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. TARA MARIE PICCOLOCredential: NURSE PRACITIONER
Location Address350 ANGLE STREETAnglewood, NJ 07631
Mailing Address478 Abbott AvenueRidgefield, NJ 07657 · (201) 334-6634
Phone(201) 894-3000
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateDecember 14, 2022
NPPES CertifiedDecember 14, 2022
✔ NPI 1861104515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NJ · 26NJ01402700
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
350 ANGLE STREET, Anglewood, NJ 07631
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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

Mrs. Tara Marie Piccolo Nurse Pracitioner 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 ID5698132801
PECOS Enrollment IDI20230602002036
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.

Englewood Hospital And Medical Center

Acute Care Hospitals · Englewood, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310045
Location350 Engle StEnglewood, NJ 07631 · Bergen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07631 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
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

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 Piccolo's NPI number?

The NPI number for Tara Piccolo is 1861104515. It was assigned to this individual provider in the NPPES registry on December 14, 2022.

Where is Tara Piccolo located?

Tara Piccolo practices at 350 Angle Street, Anglewood, NJ 07631. The listed phone number is (201) 894-3000.

What is Tara Piccolo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Tara Piccolo enrolled in Medicare?

Yes. Tara Piccolo 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 Piccolo affiliated with any hospitals?

According to CMS data, Tara Piccolo is affiliated with Englewood Hospital And Medical Center.

When was this NPI record last updated?

The NPPES record for Tara Piccolo was last updated on December 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.