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

Tara Joan, ANPANDGNP

Individual provider Gerontology Nurse Practitioner · NPI 1063979896

Tara Joan, ANPANDGNP is a Nurse Practitioner in Bronx, New York. Qualified in 1999, 27 years ago. Practices with Edward Timothy Okelley MD PC, a 10-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
27
Licensed in
NY
In the registry since
2019
Specialties on file
2

Practice location Address checks out

2015 Grand Concourse
Bronx, NY 10453-4303
Phone: (718) 299-7295
Fax: (718) 299-6797
Show map & directions

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

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence F302878 (NY)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence F340417 (NY)

Record details

NPI number1063979896
Entity typeIndividual (Type 1)
GenderFemale
Credentials ANPANDGNP
Sole proprietorNo
NPI enumeratedFebruary 28, 2019
Last updated in NPPESJuly 15, 2020
Certification dateJuly 15, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Edward Timothy Okelley Md Pc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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