IndividualActive
Tara Mcdermott-Banta
NPI 1124381025 · Specialist · Massapequa, NY
Tara Mcdermott-Banta is a Specialist provider in Massapequa, NY (NPI 1124381025).
Provider details
- NPI number
- 1124381025
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 515741041 (NY)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
107 Hampton Blvd
Massapequa, NY 11758-7364
Phone: (516) 205-8822
Street-level locationGet directions
Mailing address
107 Hampton Blvd
Massapequa, NY 11758-7364
Registry dates
- Enumerated
- 2012-06-17
- Last updated
- 2022-04-11
- Certified
- 2022-04-11
Frequently asked questions
- What is Tara Mcdermott-Banta's NPI number?
- Tara Mcdermott-Banta's National Provider Identifier (NPI) is 1124381025, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tara Mcdermott-Banta's specialty?
- Tara Mcdermott-Banta is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Tara Mcdermott-Banta located?
- Tara Mcdermott-Banta's practice location on file with NPPES is 107 Hampton Blvd, Massapequa, NY 11758-7364.
- What is Tara Mcdermott-Banta's phone number?
- The practice phone number listed in the NPPES registry for Tara Mcdermott-Banta is (516) 205-8822.
- Is Tara Mcdermott-Banta's NPI active?
- Yes — Tara Mcdermott-Banta's NPI (1124381025) is active in the NPPES registry as of the last update on 2022-04-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.