Tara Rose Nizamov, PHYSICIAN ASSISTANT - Medicare Physician Assistant in Mount Vernon, NY

Tara Rose Nizamov, PHYSICIAN ASSISTANT is a medicare enrolled "Physician Assistant" in Mount Vernon, New York. She went to Mercy College and graduated in 2024 and has 1 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Cogent Medical Care Pc and her current practice location is 12 N 7th Ave, Mount Vernon, New York. You can reach out to her office (for appointments etc.) via phone at (917) 557-9895.

Tara Rose Nizamov is licensed to practice in New York (license number 032848) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1558179093.

Contact Information

Tara Rose Nizamov, PHYSICIAN ASSISTANT
12 N 7th Ave,
Mount Vernon, NY 10550-2026
(917) 557-9895
Not Available

Map and Direction




Provider's Profile

Full NameTara Rose Nizamov
GenderFemale
SpecialityPhysician Assistant
Experience1 Years
Location12 N 7th Ave, Mount Vernon, New York
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Tara Rose Nizamov attended and graduated from Mercy College in 2024
  NPI Data:
  • NPI Number: 1558179093
  • Provider Enumeration Date: 12/30/2024
  • Last Update Date: 06/08/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 9032620091
  • Enrollment ID: I20250617000611

Medical Identifiers

Medical identifiers for Tara Rose Nizamov such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558179093NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 032848 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Montefiore Mount Vernon HospitalMount vernon, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Cogent Medical Care Pc7315836780135

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tara Rose Nizamov is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Tara Rose Nizamov, PHYSICIAN ASSISTANT
12 N 7th Ave,
Mount Vernon, NY 10550-2026

Ph: (914) 261-7448
Tara Rose Nizamov, PHYSICIAN ASSISTANT
12 N 7th Ave,
Mount Vernon, NY 10550-2026

Ph: (917) 557-9895

Reviews and Comments


Physician Assistant Nurses in Mount Vernon, NY

Ms. Patricia Taddeo, PA
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Phone: 914-699-7200    Fax: 914-668-0579
Dayse Theresa Tapia, PA-C
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Practice Location: 12 N 7th Ave, Mount Vernon, NY 10550
Phone: 914-664-8000    
Naima R Abdus-salaam, PA
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Medicare: May Accept Medicare Assignments
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Phone: 914-699-2711    Fax: 718-904-2827
Mr. Lee Barry Leavelle, PA
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Medicare: Not Enrolled in Medicare
Practice Location: 107 W 4th Street, Mount Vernon Neighborhood Health Ctr, Mount Vernon, NY 10550
Phone: 914-699-7200    Fax: 914-699-0837
Michele Elizabeth Mordelle, PA
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Practice Location: 28 Farrell Ave, Mount Vernon, NY 10553
Phone: 516-663-8700    
Aboulaye Sidibe, PA-C
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Medicare: Medicare Enrolled
Practice Location: 181 Pearsall Dr, Apt 1b, Mount Vernon, NY 10552
Phone: 914-668-7432    
Elizabeth Kuriakose, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 203 Gramatan Ave Ste A, Mount Vernon, NY 10550
Phone: 914-202-4830    Fax: 914-202-4834

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.