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

Tara Prisco, PA

Individual provider Medical Physician Assistant · NPI 1508017534

Tara Prisco, PA is a Medical Physician Assistant in Clark, New Jersey. Licensed in New Jersey. Registered with an NPI since 2008.

Licensed in
NJ
In the registry since
2008
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

999 Raritan Rd
Clark, NJ 07066-1757
Phone: (732) 381-9418
Fax: (732) 381-3733
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 25MP00124200 (NJ)

Record details

NPI number1508017534
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 8, 2008
Last updated in NPPESOctober 8, 2008
Mailing address999 Raritan Rd, Clark, NJ 07066-1757

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