Look up the most recent NPI and PECOS records

Nicholas Tamborra

Counselor

Behavioral Health & Social Service Providers

1765 South Ave, Staten Island, NY 10314-3604

PECOS Enrollment

Based on the most recent information from CMS, provider Nicholas Tamborra is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 1:08 PM.

Profile Details

Provider ID
1316465818
Provider Type
Individual
Full Name
Tamborra, Nicholas
Credential
LMHC

Gender
Male
Sole Proprietor
No
Enumeration Date
9/5/2017
Last Updated
7/21/2022

Contact Information

Practice Location

1765 South Ave, Staten Island, NY 10314-3604

(718) 982-6982

Unlisted Fax

Mailing Location

1765 South Ave, Staten Island, NY 10314-3604

(718) 982-6982

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License 007887 New York

Nicholas Tamborra

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Meagher, Dennis

Victor, Elizabeth C

Occhipinti, Isabella

Digiovanni, Laura

Devoe, Leana

Keita, Maduyen

Lepore-Graziano, Gina

Adamski, Nicolette Annalee

Veras, Jacqueline Marie

Roberts, Jonathan