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

Individual provider Physician Assistant · NPI 1477440477

Tiarrah Rose Tolliver, PA-C is a Physician Assistant in Berkeley Heights, New Jersey. Qualified in 2025, 1 year ago. Practices with Summit Medical Group PA, a 1,205-clinician group and accepts Medicare assignment.

Years since qualifying
1
In the registry since
2025
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

1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Phone: (908) 988-0574
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1477440477
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 23, 2025
Last updated in NPPESJuly 17, 2025
Certification dateJuly 17, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Summit Medical Group Pa — 1205 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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