IndividualActive
Tara Broccolo
NPI 1821495581 · Specialist · Irondequoit, NY
Tara Broccolo is a Specialist provider in Irondequoit, NY (NPI 1821495581).
Provider details
- NPI number
- 1821495581
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 649366951 (NY)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
2111 Hudson Ave
Irondequoit, NY 14617-4346
Phone: (585) 520-1783
Street-level locationGet directions
Mailing address
1628 Glendowan Ter
Webster, NY 14580-8571
Registry dates
- Enumerated
- 2014-11-24
- Last updated
- 2014-11-24
Frequently asked questions
- What is Tara Broccolo's NPI number?
- Tara Broccolo's National Provider Identifier (NPI) is 1821495581, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tara Broccolo's specialty?
- Tara Broccolo is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Tara Broccolo located?
- Tara Broccolo's practice location on file with NPPES is 2111 Hudson Ave, Irondequoit, NY 14617-4346.
- What is Tara Broccolo's phone number?
- The practice phone number listed in the NPPES registry for Tara Broccolo is (585) 520-1783.
- Is Tara Broccolo's NPI active?
- Yes — Tara Broccolo's NPI (1821495581) is active in the NPPES registry as of the last update on 2014-11-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.