TARA L GELLASCH


Address: 1250 Driving Park Ave, Newark, NY 14513-1057
Phone: 3153322427

TARA L GELLASCH (NPI# 1780694489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780694489
Entity Type Individual
Full Name TARA L GELLASCH
Credential MD
Practice Address 1250 Driving Park Ave
Newark
NY 14513-1057
Practice Telephone 3153322427
Practice Fax Number 3153322324
Mailing Telephone 3153322427
Mailing Fax Number 3153322324
Enumeration Date 2006-08-08
Last Update Date 2014-01-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207V00000X Obstetrics & Gynecology 253197 NY Allopathic & Osteopathic Physicians
N 207V00000X Obstetrics & Gynecology 0101237926 VA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NY 03105295 05

Office Location

Street Address 1250 DRIVING PARK AVE
City NEWARK
State NY
Zip Code 14513-1057

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225060122 Joan M Hurley Pharmacist 1250 Driving Park Ave, Newark, NY 14513-1057 2006-07-07
1487205837 Naomi Schwartz Advanced Practice Midwife 1250 Driving Park Ave, Newark, NY 14513-1057 2019-09-26
1790339059 Sara Q Schlageter Advanced Practice Midwife 1250 Driving Park Ave, Newark, NY 14513-1057 2019-07-25
1528326907 Rebekah Marie Loveless Physician Assistant 1250 Driving Park Ave, Newark, NY 14513 2012-04-24
1124336581 Ahmad Awada Obstetrics & Gynecology 1250 Driving Park Ave, Newark, NY 14513-1057 2010-09-20
1356653794 Charles Lawrence Katz Obstetrics & Gynecology 1250 Driving Park Ave, Newark, NY 14513-1057 2010-07-13
1578711214 Neelam Sharma Obstetrics & Gynecology 1250 Driving Park Ave, Newark, NY 14513-1057 2008-09-07
1952585044 Alexandre Andreitchouk Obstetrics & Gynecology 1250 Driving Park Ave, Newark, NY 14513-1057 2007-12-25
1154421261 Kathleen Hausman Advanced Practice Midwife 1250 Driving Park Ave, Newark, NY 14513-1057 2006-09-25
1114021805 Emily L Debadts Physician Assistant 1250 Driving Park Ave, Newark, NY 14513-1057 2006-09-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881215648 Susan Marie Oberdorf Speech-Language Pathologist 133 Elmwood, Newark, NY 14513 2020-05-04
1871077404 Aisha E Wagner Nurse Practitioner 1304 Driving Park Avenue, Newark, NY 14513 2018-09-19
1689192817 Melanie Swarthout Case Manager/Care Coordinator 150 Van Buren St., Newark, NY 14513 2017-09-08
1942650882 Donna Joy Collins I Speech-Language Pathologist 848 Pierson Avenue, Newark, NY 14513 2016-06-21
1972952661 Cj-mak Transportation, Inc. Non-emergency Medical Transport (VAN) 227 State Farm Road, Newark, NY 14513 2016-06-03
1306214473 Stephanie Belli Licensed Practical Nurse 5904 Austin Road, Newark, NY 14513 2015-09-08
1992186712 Nicole Harris Nursing Facility/Intermediate Care Facility 132 Willow Avenue, Newark, NY 14513 2015-06-17
1861802373 Jeffrey Spencer Urology 1202 Driving Park Ave Ste 5, Newark, NY 14513 2014-05-06
1609126648 Natasha Triplett Student in an Organized Health Care Education/Training Program 439 W. Maple Ave, Perkins Elementary, Newark, NY 14513 2012-09-18
1922377902 Lisa E. Williams Licensed Practical Nurse 701 Peirson Ave., Newark, NY 14513 2011-12-21
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Taxonomy Information

Taxonomy Code 207V00000X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology

Taxonomy Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821383555 Michelle Marie Pacis Obstetrics & Gynecology 4735 Ogletown Stanton Rd Ste 2103, Newark, DE 19713-8000 2011-06-10
1679803704 Women First, LLC Obstetrics & Gynecology 875 Aaa Blvd Ste B, Newark, DE 19713-3624 2010-01-13
1568669075 Stephanie Lynne Marshall Obstetrics & Gynecology 185 S Orange Ave # 506, Newark, NJ 07103-2757 2007-06-28
1114067527 Mrinal Koul Obstetrics & Gynecology 341 Walnut St, Newark, NJ 07105-2611 2007-02-07
1154476190 Mark G Cadungog Obstetrics & Gynecology 4701 Ogletown Stanton Rd Ste 2335, Newark, DE 19713-7016 2007-01-23
1528124880 Kelli M Gevas Obstetrics & Gynecology 15 Messimer Drive, Newark, OH 43055 2006-12-29
1407912322 Euk Hyun Kim Obstetrics & Gynecology 228 Lafayette St, Newark, NJ 07105 2006-12-28
1659430528 Luis A Yerovi Sr. Obstetrics & Gynecology 91 Congress St, Newark, NJ 07105-1801 2006-12-07
1811065634 Abdul Wahij Najafi Obstetrics & Gynecology 410 Chancellor Ave, Newark, NJ 07112-1030 2006-12-01
1891808861 Janae M. Davis Obstetrics & Gynecology 20 W Locust St, Newark, OH 43055-5520 2006-08-16
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Competitor

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City NEWARK
Zip Code 14513

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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