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

Tara Farahvash, DO

Individual provider Internal Medicine Physician · NPI 1801107461

Tara Farahvash, DO is an Internal Medicine in Staten Island, New York. Graduated from New York College of Osteo Medicine of New York Institute of Technology in 2010, 16 years ago. Practices with Amboy Medical Practice PC, a 173-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
16
Trained at
New York College of Osteo Medicine of New York Institute of Technology
Licensed in
NY
In the registry since
2010
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

4360 Hylan Blvd
Staten Island, NY 10312-6533
Phone: (718) 818-4360
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 275278 (NY)

Record details

NPI number1801107461
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 29, 2010
Last updated in NPPESJanuary 27, 2021
Certification dateJanuary 27, 2021

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolNEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated 2010 (16 years in practice)
Group practice Amboy Medical Practice Pc — 173 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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