Tara M Vanderburg Physician Assistant
330 Community Dr, 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 330 Community Dr, Manhasset, NY 11030-3816. The zip code is 11030.


Tara M Vanderburg · 330 Community Dr, 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 5167082550
Group Practice PAC ID 3375701568
Number of Group Practice Members 2311
Address 330 COMMUNITY DR
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: 330
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: 3816
types : street_address
latitude: 40.7729011
longitude: -73.7003725
latlng: (40.7729011, -73.7003725)


North Shore - Lij Medical PC · Medicare Physician

Name Address Specialty
Elma Ortiz 350 Community Dr, Manhasset, NY 11030-3816 NURSE PRACTITIONER
Christopher Jerome 350 Community Dr, Manhasset, NY 11030-3816 PHYSICIAN ASSISTANT
Nancy Zeitoun 10201 66th Rd, Forest Hills, NY 11375-2029 HOSPITALIST
Evan Schwartz 300 Community Dr, Manhasset, NY 11030-3816 ORTHOPEDIC SURGERY
Kenneth Gold 450 Lakeville Rd, New Hyde Park, NY 11042-1118 HEMATOLOGY/ONCOLOGY
Hanna Freyle 330 Community Dr, Manhasset, NY 11030-3816 INTERNAL MEDICINE
Marianne Drago 330 Community Dr, Manhasset, NY 11030-3816 NURSE PRACTITIONER
Ann Garlitski 300 Community Dr, Manhasset, NY 11030-3816 CARDIOVASCULAR DISEASE (CARDIOLOGY)
Jamie Huggler 300 Community Dr Ll, Manhasset, NY 11030-3816 PHYSICIAN ASSISTANT
Kimmarie Hammond 27005 76th Ave, New Hyde Park, NY 11040-1402 NURSE PRACTITIONER
Tori Szabo 300 Community Dr, Manhasset, NY 11030-3816 PHYSICIAN ASSISTANT
Delbert Robinson 10201 66th Rd, Forest Hills, NY 11375-2029 PSYCHIATRY
Scott Harris 600 Northern Blvd, Great Neck, NY 11021-5200 OTOLARYNGOLOGY
John Maloy 75 -59, Glen Oaks, NY 11004-1150 PSYCHIATRY
Kenneth Spaeth 300 Community Dr, Manhasset, NY 11030-3816 INTERNAL MEDICINE
Kit Cheng 330 Community Dr, Manhasset, NY 11030-3816 HEMATOLOGY/ONCOLOGY
Rick Conetta 350 Community Dr, Manhasset, NY 11030-3816 PULMONARY DISEASE
Barbara Popecki 600 Northern Blvd, Great Neck, NY 11021-5200 AUDIOLOGIST
Fatima Siddiqui 10201 66th Rd, Forest Hills, NY 11375-2029 PSYCHIATRY
Mylene Colucci 101 Saint Andrews Ln, Glen Cove, NY 11542-2254 CRITICAL CARE (INTENSIVISTS)

Zip 11030 · Physician Assistant · Medicare Physician

Name Address Specialty
Donna Digregorio 300 Community Dr, Manhasset, NY 11030-3816 PHYSICIAN ASSISTANT
Paul Gellert 350 Community Dr, Manhasset, NY 11030-3816 PHYSICIAN ASSISTANT
Jason Wieland 350 Community Dr, Manhasset, NY 11030-3816 PHYSICIAN ASSISTANT
Adam Gonzalez 330 Community Dr, Manhasset, NY 11030-3816 PHYSICIAN ASSISTANT
Michael Abbondondolo 300 Community Dr, Manhasset, NY 11030-3816 PHYSICIAN ASSISTANT
Kathryn Alberti 300 Community Dr, Manhasset, NY 11030-3816 PHYSICIAN ASSISTANT
Yvette Libert 350 Community Dr, Manhasset, NY 11030-3816 PHYSICIAN ASSISTANT
John Gilbert 350 Community Dr, Manhasset, NY 11030-3816 PHYSICIAN ASSISTANT
Suzan Shifteh 350 Community Dr, Manhasset, NY 11030-3816 PHYSICIAN ASSISTANT
Anthony Edwards 350 Community Dr, Manhasset, NY 11030-3816 PHYSICIAN ASSISTANT
Mary Vallone 330 Community Dr, Manhasset, NY 11030-3816 PHYSICIAN ASSISTANT
James Steele 350 Community Dr, Manhasset, NY 11030-3816 PHYSICIAN ASSISTANT
Jennifer Vincent 330 Community Dr, Manhasset, NY 11030-3816 PHYSICIAN ASSISTANT
Jason Lightbody 350 Community Dr, Manhasset, NY 11030-3816 PHYSICIAN ASSISTANT
Jannine Thorp 330 Community Dr, Manhasset, NY 11030-3816 PHYSICIAN ASSISTANT
Peter-john Ruiz 300 Community Dr, Manhasset, NY 11030-3816 PHYSICIAN ASSISTANT
Jose Cruz 350 Community Dr, Manhasset, NY 11030-3816 PHYSICIAN ASSISTANT
Maria Baciuska 350 Community Dr, Manhasset, NY 11030-3816 PHYSICIAN ASSISTANT
Michael Gorczycki 300 Community Dr Ll, Manhasset, NY 11030-3816 PHYSICIAN ASSISTANT
Viktoriya Suleymanova 330 Community Dr, Manhasset, NY 11030-3816 PHYSICIAN ASSISTANT

Zip 11030 · Medicare Physician

Name Address Specialty
Pranisha Gautam 330 Community Dr, Manhasset, NY 11030-3816 INFECTIOUS DISEASE
Darius Muller 330 Community Dr, Manhasset, NY 11030-3816 CLINICAL SOCIAL WORKER
Michael Hall 330 Community Dr, Manhasset, NY 11030-3816 THORACIC SURGERY
Gary Goldberg 1554 Northern Boulevard, Manhasset, NY 11030-3006 OBSTETRICS/GYNECOLOGY
Lisa Gallagher 300 Community Dr, Manhasset, NY 11030-3816 NURSE PRACTITIONER
Sotirios Kassapidis 350 Community Dr, Manhasset, NY 11030-3816 PULMONARY DISEASE
Mekeleya Yimen 300 Community Dr Ll, Manhasset, NY 11030-3816 CRITICAL CARE (INTENSIVISTS)
David Witkes 350 Community Dr, Manhasset, NY 11030-3816 CARDIOVASCULAR DISEASE (CARDIOLOGY)
Daniel Putterman 330 Community Dr, Manhasset, NY 11030-3816 INTERVENTIONAL RADIOLOGY
Neil Tanna 300 Community Dr Ll, Manhasset, NY 11030-3816 PLASTIC AND RECONSTRUCTIVE SURGERY
Alison Mishkit 300 Community Dr Ll, Manhasset, NY 11030-3816 GENERAL SURGERY
David Coven 330 Community Dr, Manhasset, NY 11030-3816 CARDIOVASCULAR DISEASE (CARDIOLOGY)
Andrea Deiker 350 Community Dr, Manhasset, NY 11030-3816 PHYSICIAN ASSISTANT
Celine Dematteo 330 Community Dr, Manhasset, NY 11030-3816 NEUROLOGY
Michael Abbondondolo 300 Community Dr, Manhasset, NY 11030-3816 PHYSICIAN ASSISTANT
Gary Weiss 300 Community Dr, Manhasset, NY 11030-3816 UROLOGY
Leonard Kahn 350 Community Dr, Manhasset, NY 11030-3816 PATHOLOGY
Howard Nathanson 350 Community Dr, Manhasset, NY 11030-3816 OBSTETRICS/GYNECOLOGY
Yakov Iofel 300 Community Dr Ll, Manhasset, NY 11030-3816 GERIATRIC MEDICINE
Hugh Lawrence 350 Community Dr, Manhasset, NY 11030-3816 PHYSICIAN ASSISTANT