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

Tara Vitale

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1174298129

Tara Vitale is a Nurse Practitioner in Middletown, New York. Qualified in 2024, 2 years ago. Practices with Middletown Medical PC, a 177-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
2
In the registry since
2021
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Practice location Address checks out

111 Maltese Dr
Middletown, NY 10940-2141
Phone: (845) 342-4774
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1174298129
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 11, 2021
Last updated in NPPESMay 28, 2024
Certification dateMay 28, 2024
Mailing address111 Maltese Dr, Middletown, NY 10940-2141

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Middletown Medical Pc — 177 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Middletown