Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tara Rose Nizamov, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1558179093

Tara Rose Nizamov, PHYSICIANASSISTANT is a Physician Assistant in Mount Vernon, New York. Graduated from Mercy College in 2024, 2 years ago. Practices with Cogent Medical Care PC, a 154-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
2
Trained at
Mercy College
Licensed in
NY
In the registry since
2024
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Practice location Address checks out

12 N 7th Ave
Mount Vernon, NY 10550-2026
Phone: (917) 557-9895
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 032848 (NY)

Record details

NPI number1558179093
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedDecember 30, 2024
Last updated in NPPESJune 8, 2025
Certification dateJune 8, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolMERCY COLLEGE
Graduated 2024 (2 years in practice)
Group practice Cogent Medical Care Pc — 154 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Food and Beverage $105 3 payments · a meal or drink at a meeting or visit, not a fee

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Cogent Medical Care PC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 154 clinicians in the practice; 12 are shown here.

Other providers in Mount Vernon