Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Indira Tata, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1992381057

Indira Tata, MD is an Internal Medicine in Pompton Plains, New Jersey. Qualified in 2020, 6 years ago. Practices with Practice Associates Medical Group, a 1,403-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
6
Licensed in
NJ
In the registry since
2021
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

97 W Pkwy
Pompton Plains, NJ 07444-1647
Phone: (973) 831-5000
Fax: (973) 831-5432
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3301 Matlock Rd, Arlington, TX 76015-2908 — (682) 509-3043

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 25MA12152000 (NJ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1992381057
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 19, 2021
Last updated in NPPESOctober 8, 2024
Certification dateOctober 8, 2024
Mailing addressPo Box 416457, Boston, MA 02241-6457

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Practice Associates Medical Group — 1403 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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