TAMAR JOSEPH (PA-C) – Physician Assistant, NPI 1639712680

TAMAR JOSEPH (PA-C) is a healthcare provider. based in Teaneck, New Jersey. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. The NPI Number for TAMAR JOSEPH (PA-C) is 1639712680

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
TAMAR JOSEPH (PA-C)
NPI
1639712680
Phone
(201) 962-5828
Address
17 WESTGATE RD APT D
Enumeration Date
22 October 2019
Last Update Date
22 October 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9734648363
Graduation Year
2019 (7 years ago)
PAC ID
2264837152
Group Practice PAC ID
5991162257
Professional Enrollment ID
I20210816000853
Address ID
NJ079452004ME4XXXXDRXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience27
Completeness75
Years active:6State licenses:0Digital endpointsOther names

3,578 PHYSICIAN ASSISTANT in NJ

Provider Addresses for TAMAR JOSEPH (PA-C)

  • 17 WESTGATE RD APT D

    TEANECK, NJ 076665044

    Phone: (201) 962-5828

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $28.

Total Amount is formed as General ($28) + Research ($0) + Ownership ($0) = $28.

Last reported payment date: 2023-12-11 • Largest payer in this snapshot: Lilly USA, LLC ($15).

Total Amount

$28

General + Research + Ownership

Payments

2

Total payment records

General Amount

$28

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-11

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-08-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210816000853IPhysician AssistantNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 07666)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5991162257View full group profile
NameSpecialtyState
Nurse PractitionerNY
Physician AssistantNJ
Emergency MedicinePA
Physician AssistantNY
Emergency MedicineTX
Emergency MedicineNC
Nurse PractitionerNJ
Physician AssistantMA
Emergency MedicineNJ
Nurse PractitionerNY

Reviews

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Frequently asked questions

Is there an official ID for TAMAR JOSEPH (PA-C) in U.S. healthcare records?
The official identifier for TAMAR JOSEPH (PA-C) is NPI 1639712680.
Is there an active status for TAMAR JOSEPH (PA-C)?
For scheduling context, TAMAR JOSEPH (PA-C) is shown as active in the registry.
What kind of doctor is TAMAR JOSEPH (PA-C)?
TAMAR JOSEPH (PA-C) is associated with Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for TAMAR JOSEPH (PA-C)?
Travel planning: use Teaneck, New Jersey as the reference point for TAMAR JOSEPH (PA-C), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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