Tara M Vanderburg Physician Assistant
300 Community Dr Ll, Manhasset, NY 11030-3816


Tara M Vanderburg is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1386085082. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 2668770108. The primary specialty is PHYSICIAN ASSISTANT. The organization is NORTH SHORE - LIJ MEDICAL PC. The address is 300 Community Dr Ll, Manhasset, NY 11030-3816. The zip code is 11030.


Tara M Vanderburg · 300 Community Dr Ll, Manhasset, NY 11030-3816

Nation Provider ID 1386085082
PAC ID by PECOS 2668770108
Professional Enrollment ID I20160415001449
Last Name VANDERBURG
First Name TARA
Middle Name M
Gender F
Medical School Name OTHER
Graduation Year 2013
Primary Specialty PHYSICIAN ASSISTANT
Primary Specialty NORTH SHORE - LIJ MEDICAL PC
Phone Number 5165622229
Group Practice PAC ID 3375701568
Number of Group Practice Members 2311
Address 300 COMMUNITY DR LL
MANHASSET, NY 110303816
Claims Based Hospital Affiliation Claim Control Number (CCN): 330106
Legal Business Name: NORTH SHORE UNIVERSITY HOSPITAL
Claims Based Hospital Affiliation Claim Control Number (CCN): 330195
Legal Business Name: LONG ISLAND JEWISH MEDICAL CENTER
Professional accepts Medicare Assignment Y

street_number: 300
route: Community Drive (Community Dr)
locality, political: Manhasset
admin_level_3, political: North Hempstead
admin_level_2, political: Nassau County
admin_level_1, political: New York (NY)
country, political: United States (US)
postal_code: 11030
postal_code_suffix: 3876
types : doctor, establishment, health, point_of_interest
latitude: 40.7776457
longitude: -73.7016783
latlng: (40.7776457, -73.7016783)


North Shore - Lij Medical PC · Medicare Physician

Name Address Specialty
Carissa Fronk 300 Community Dr, Manhasset, NY 11030-3816 PHYSICIAN ASSISTANT
Ekambaram Ilamathi 300 Community Dr, Manhasset, NY 11030-3816 NEPHROLOGY
John Boockvar 300 Community Dr Ll, Manhasset, NY 11030-3816 NEUROSURGERY
Rick Esposito 300 Community Dr, Manhasset, NY 11030-3816 THORACIC SURGERY
Richard Jacobson 350 Community Dr, Manhasset, NY 11030-3816 PHYSICIAN ASSISTANT
Christopher Paredes 1983 Marcus Ave, New Hyde Park, NY 11042-2000 FAMILY PRACTICE
Navpreet Shah 300 Community Dr Ll, Manhasset, NY 11030-3816 PHYSICIAN ASSISTANT
Rakesh Shah 10201 66th Rd, Forest Hills, NY 11375-2029 DIAGNOSTIC RADIOLOGY
Jordan Laser 330 Community Dr, Manhasset, NY 11030-3816 PATHOLOGY
Michael Abbondondolo 300 Community Dr, Manhasset, NY 11030-3816 PHYSICIAN ASSISTANT
Elliot Goldofsky 27005 76th Ave, New Hyde Park, NY 11040-1402 OTOLARYNGOLOGY
Eugene Depasquale 300 Community Dr Ll, Manhasset, NY 11030-3816 CARDIOVASCULAR DISEASE (CARDIOLOGY)
Aparna Kolli 330 Community Dr, Manhasset, NY 11030-3816 GENERAL SURGERY
Ekta Gupta 10201 66th Rd, Forest Hills, NY 11375-2029 DIAGNOSTIC RADIOLOGY
Andrea Adams 300 Community Dr Ll, Manhasset, NY 11030-3816 NURSE PRACTITIONER
Sonya Reid 300 Community Dr Ll, Manhasset, NY 11030-3816 PHYSICIAN ASSISTANT
Saira Hussain 888 Old Country Rd, Plainview, NY 11803-4914 HOSPITALIST
Ami Baxi 100 E 77th St, New York, NY 10075-1850 PSYCHIATRY
Samuel Weisblatt 100 E 77th St, New York, NY 10075-1850 PSYCHIATRY
Ruby Sharma 10201 66th Rd, Forest Hills, NY 11375-2029 HEMATOLOGY/ONCOLOGY

Zip 11030 · Physician Assistant · Medicare Physician

Name Address Specialty
Sharen Lewinson 300 Community Dr Ll, Manhasset, NY 11030-3816 PHYSICIAN ASSISTANT
Jennifer Liantonio 300 Community Dr Ll, Manhasset, NY 11030-3816 PHYSICIAN ASSISTANT
Jacqueline Sullivan 350 Community Dr, Manhasset, NY 11030-3816 PHYSICIAN ASSISTANT
Maria Ametrano 300 Community Dr Ll, Manhasset, NY 11030-3816 PHYSICIAN ASSISTANT
Jeanine Gurdon 300 Community Dr, Manhasset, NY 11030-3816 PHYSICIAN ASSISTANT
Dana Panzer 330 Community Dr, Manhasset, NY 11030-3816 PHYSICIAN ASSISTANT
Jonathan Sobel 330 Community Dr, Manhasset, NY 11030-3816 PHYSICIAN ASSISTANT
Andrea Rezin 300 Community Dr Ll, Manhasset, NY 11030-3816 PHYSICIAN ASSISTANT
Ruth Lloret 350 Community Dr, Manhasset, NY 11030-3816 PHYSICIAN ASSISTANT
Amita Sharma 330 Community Dr, Manhasset, NY 11030-3816 PHYSICIAN ASSISTANT
Janine Halstead 330 Community Dr, Manhasset, NY 11030-3816 PHYSICIAN ASSISTANT
Alexandra Bachyrycz 330 Community Dr, Manhasset, NY 11030-3816 PHYSICIAN ASSISTANT
Daniel Caruso 300 Community Dr Ll, Manhasset, NY 11030-3816 PHYSICIAN ASSISTANT
Ivanna Sorych 330 Community Dr, Manhasset, NY 11030-3816 PHYSICIAN ASSISTANT
John Karaptis 300 Community Dr, Manhasset, NY 11030-3816 PHYSICIAN ASSISTANT
Jacqueline Becker 300 Community Dr, Manhasset, NY 11030-3816 PHYSICIAN ASSISTANT
Carissa Fronk 300 Community Dr, Manhasset, NY 11030-3816 PHYSICIAN ASSISTANT
Jessy Chacko 350 Community Dr, Manhasset, NY 11030-3816 PHYSICIAN ASSISTANT
Jennis Jagdeo-dyal 300 Community Dr Ll, Manhasset, NY 11030-3816 PHYSICIAN ASSISTANT
Matthew Restivo 350 Community Dr, Manhasset, NY 11030-3816 PHYSICIAN ASSISTANT

Zip 11030 · Medicare Physician

Name Address Specialty
Robert Perdue 300 Community Dr, Manhasset, NY 11030-3816 PHYSICIAN ASSISTANT
Carlos Forcade 300 Community Dr, Manhasset, NY 11030-3816 DIAGNOSTIC RADIOLOGY
Jane Serio 1615 Northern Boulevard, Manhasset, NY 11030-3008 INTERNAL MEDICINE
Aleksandra Policha 330 Community Dr, Manhasset, NY 11030-3816 VASCULAR SURGERY
Frank Cacace 300 Community Dr, Manhasset, NY 11030-3816 INTERNAL MEDICINE
Stuart Cohen 350 Community Dr, Manhasset, NY 11030-3816 DIAGNOSTIC RADIOLOGY
Alla Sabzanova 300 Community Dr Ll, Manhasset, NY 11030-3816 INTERNAL MEDICINE
Carla Douyon 1129 Northern Blvd, Manhasset, NY 11030-3022 NURSE PRACTITIONER
Teekaram Persaud 300 Community Dr, Manhasset, NY 11030-3816 PULMONARY DISEASE
Anupama Bedi 330 Community Dr, Manhasset, NY 11030-3816 PHYSICIAN ASSISTANT
Sheena Zapata 350 Community Dr, Manhasset, NY 11030-3816 INTERNAL MEDICINE
Stephanie Nucci 350 Community Dr, Manhasset, NY 11030-3816 PHYSICIAN ASSISTANT
Dorothy Pacella 300 Community Dr, Manhasset, NY 11030-3816 CERTIFIED REGISTERED NURSE ANESTHETIST
Kaitlin Iannelli 350 Community Dr, Manhasset, NY 11030-3816 AUDIOLOGIST
Negin Hajizadeh 330 Community Dr, Manhasset, NY 11030-3816 PULMONARY DISEASE
Angela Kim 350 Community Dr, Manhasset, NY 11030-3816 INFECTIOUS DISEASE
Stavros Mountantonakis 350 Community Dr, Manhasset, NY 11030-3816 CARDIOVASCULAR DISEASE (CARDIOLOGY)
Meghan Dooney 300 Community Dr, Manhasset, NY 11030-3816 PHYSICIAN ASSISTANT
Jeffrey Wagner 330 Community Dr, Manhasset, NY 11030-3816 PHYSICIAN ASSISTANT
Stephen Bernstein 330 Community Dr, Manhasset, NY 11030-3816 CARDIOVASCULAR DISEASE (CARDIOLOGY)