{"npi":"1043217300","type":"NPI-1","status":"active","name":{"display":"Dr. Phyllis Tarallo DNP, Dcc, FNP-C","other":[],"first":"PHYLLIS","last":"TARALLO","middle":"A","credential":"DNP,DCC,FNP-C"},"specialty":{"primary_taxonomy":"363LF0000X","primary_taxonomy_description":"Family Nurse Practitioner","slug":"family-nurse-practitioner","schema_org_specialty":null,"all":[{"code":"363LF0000X","description":"Family Nurse Practitioner","primary":false,"state":"NY","license":"333859"},{"code":"363LP2300X","description":"Primary Care Nurse Practitioner","primary":false,"state":"NY","license":"333859"},{"code":"363LW0102X","description":"Nurse Practitioner, Women's Health","primary":false,"state":"NY","license":"333859"},{"code":"363LF0000X","description":"Family Nurse Practitioner","primary":true,"state":"NJ","license":"26NJ00125100"}]},"addresses":[{"purpose":"LOCATION","street_1":"718 TEANECK RD","city":"TEANECK","state":"NJ","postal_code":"076664245","country_code":"US","phone":"2123050448","fax":"2123425600"},{"purpose":"MAILING","street_1":"PO BOX 27036","city":"NEW YORK","state":"NY","postal_code":"100877036","country_code":"US","phone":"2123050914","fax":"2123054343"}],"license":{"state":"NJ","number":"26NJ00125100"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"0269026","state":"NY","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20090218000313","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"NJ","pac_id":"9133113533"}]},"enumeration_date":"2005-07-01","last_updated":"2025-02-03","_meta":{"source":"NPPES","snapshot_date":"2025-02-03","doc_url":"https://findmynpi.com/api"}}