Individual provider · NPI-1
Tara English Gimeli, CPNP-PC
Nurse Practitioner, Pediatrics · Babylon, NY
NPI number1902440647
StatusActive
Last updated in NPPESJan 28, 2026
Details
- NPI
- 1902440647
- Entity type
- Individual (NPI-1)
- Name
- Tara English Gimeli
- Credential
- CPNP-PC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 6, 2019
- Certification date
- Jan 28, 2026
- Last updated
- Jan 28, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | F382996-01 | NY | Yes |
Practice location
655 Deer Park AveBabylon, NY 11702-1314
Phone 631-321-2100 · Fax 631-321-2246
Mailing address
655 Deer Park AveBabylon, NY 11702-1314
Phone 631-321-2100 · Fax 631-321-2246
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