Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tahneemarie Louise Roberts, PA-C

Individual provider Medical Physician Assistant · NPI 1518373661

Tahneemarie Louise Roberts, PA-C is a Physician Assistant in Deer Park, New York. Qualified in 2014, 12 years ago. Practices with City Medical of Upper East Side PLLC, a 663-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
12
Licensed in
NY
In the registry since
2014
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

16 Van Cott Rd
Deer Park, NY 11729-6519
Phone: (631) 274-0777
Fax: (631) 274-9499
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 152 Queens Ave, Elmont, NY 11003-4339 — (917) 226-7470
  • 6118 188th St, Fresh Meadows, NY 11365-2713 — (718) 489-5003

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 017681 (NY)

Record details

NPI number1518373661
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 9, 2014
Last updated in NPPESMarch 5, 2020
Certification dateMarch 5, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice City Medical Of Upper East Side Pllc — 663 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

Other providers in Deer Park