MRS. TARA MARIE PICCOLO NURSE PRACITIONER
NPI 1861104515
Nurse Practitioner in Anglewood, NJ
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Tara Piccolo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Englewood, NJ 07631
- Reassigned Medicare billing, New Jersey enrollment
- 849 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.
Englewood Hospital And Medical Center
Acute Care Hospitals · Englewood, NJPhysician 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.
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.
Which organization bills Medicare for Tara Piccolo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tara Piccolo reassigns Medicare benefits to Medical Associates Of Englewood, PC (Englewood, NJ). 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 Tara Piccolo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Mrs. Tara Marie Piccolo, NURSE PRACITIONER · NPI 1861104515
Nurse Practitioner physician in Anglewood, New Jersey. Individual provider, active in the CMS NPPES registry since December 14, 2022.
## Identity
- **NPI:** 1861104515 (Entity type: Individual)
- **Enumerated:** December 14, 2022
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 26NJ01402700 (New Jersey)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 350 ANGLE STREET, Anglewood, NJ 07631
- **Phone:** (201) 894-3000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Medical Associates Of Englewood, PC (NPI 1952681918, Englewood, NJ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** December 14, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1861104515) · Data from the CMS NPPES public registry.