NPPES file of Aug 9, 2026

Tara Rose Nizamov, PHYSICIAN ASSISTANT

Physician Assistant · Mount Vernon, NY

Tara Rose Nizamov, PHYSICIAN ASSISTANT is a physician assistant with a practice address in Mount Vernon, New York, and NPI 1558179093, issued on Dec 30, 2024. Check the license (New York 032848, as entered in NPPES) with the New York board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1558179093
Name
Tara Rose Nizamov
Credential
PHYSICIAN ASSISTANT
Primary taxonomy
Physician Assistant 363A00000X
License number
032848 NY
Self-reported in NPPES; status is on the state search
Practice location
12 N 7TH Ave, Mount Vernon, NY 10550
Phone
(917) 557-9895
Enumerated
Dec 30, 2024
Record last updated
Jun 8, 2025
Medicare enrollment
Enrolled (PECOS I20250617000611); accepts Medicare assignment
Medical or professional school
Mercy College, 2024
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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8 nearest physician assistant records → All 15,555 in New York → Look up another NPI →

Also registered at 12 N 7TH Ave

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Mahdi Abdullah, MDInternal Medicine Physician1285601914
  2. Guirlaine Agnant, MDObstetrics & Gynecology Physician1811956162
  3. Dariush Alaie, MDCardiovascular Disease Physician1134108475
  4. Sulakshana BaruaHospitalist Physician1144673716
  5. Barry Baylis, MDAnesthesiology Physician1942315825
  6. Supriya BhimasaniStudent in an Organized Health Care Education/Training Program1639578586

Verify Tara Rose Nizamov in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich New York board licenses this profession
    Search for license 032848    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the New York license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Bills Medicare through one group practice

  1. Cogent Medical Care PCPatchogue, NY

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Tara Rose Nizamov among 15,555 physician assistant records in New York

Tara Rose Nizamov, PHYSICIAN ASSISTANT is one of 15,555 physician assistant records with a practice address in New York. 74% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2024, is newer than 83% of them.

  • NPI issued2024 · 83% of these records are older, 11% newer
  • In a Medicare fileYes · 74% of these records are
  • In the CMS Doctors and Clinicians fileYes · 52% of these records are
  • Graduated2024 · median 2018 among the 8,158 with a school on file
  • Record last updated2025 · 48% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a New York practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

17 physician assistant records list a practice address in Mount Vernon

They are 17 of the 1,231 NPPES records with a practice address in Mount Vernon, and 15,555 physician assistant records in New York.

All 15,555 in New York → Every provider in Mount Vernon → Physician Assistant nationwide →

The 8 physician assistant records with the nearest ZIP codes

  1. Starnipha Fletcher, RPACMt Vernon, NY 105501639205446
  2. Suma Joshua, PAMount Vernon, NY 105501720318769
  3. Ishnoor KaurMount Vernon, NY 105501235059403
  4. Elizabeth Kuriakose, PAMount Vernon, NY 105501396390522
  5. Paul Lawhorne, RPA-CMount Vernon, NY 105501487629119
  6. Lee Leavelle, PAMount Vernon, NY 105501316006588
  7. Olga Levin-Canger, PA-CMt Vernon, NY 105501871714568
  8. Natalie Montanez, PA-CMount Vernon, NY 105501114882032

Common questions

What is Tara Rose Nizamov, PHYSICIAN ASSISTANT's NPI number?

Tara Rose Nizamov, PHYSICIAN ASSISTANT's National Provider Identifier (NPI) is 1558179093, issued on Dec 30, 2024. An NPI identifies a provider in billing; it is not a license.

Where is Tara Rose Nizamov, PHYSICIAN ASSISTANT located?

The NPPES record lists a practice address at 12 N 7TH Ave, Mount Vernon, NY, 10550. Phone: (917) 557-9895. Providers update this record themselves, so call before visiting.

How can I verify Tara Rose Nizamov, PHYSICIAN ASSISTANT's license?

NPPES lists New York license number 032848, as entered by the provider. Search the New York board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Written with AI tools from the named public files; every figure is computed from those files (how it is made).

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.