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

Mrs. Tara Paternoster, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1720210792

Mrs. Tara Paternoster, PHYSICIANASSISTANT is a Physician Assistant in New Hyde Park, New York. Graduated from State University of New York at Stony Brook, School of Medicine in 2009, 17 years ago. Practices with Integrated Medical Professionals PLLC, a 98-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
17
Trained at
State University of New York at Stony Brook, School of Medicine
Licensed in
NY
In the registry since
2009

Practice location Address checks out

2001 Marcus Ave Ste E249
New Hyde Park, NY 11042-1000
Phone: (516) 437-5600
Fax: (516) 437-5600
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 27005 76th Ave, New Hyde Park, NY 11040-1402 — (718) 470-7501

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 013428 (NY)

Record details

NPI number1720210792
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedAugust 10, 2009
Last updated in NPPESMarch 17, 2018

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolSTATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated 2009 (17 years in practice)
Group practice Integrated Medical Professionals Pllc — 98 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in New Hyde Park