Traci A Tamburello, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MB07292000 Issued in NJ

Practice address

1098 Stelton Rd
Piscataway, NJ 08854-5288

Phone

(732) 572-5950

Fax

(732) 572-6384

NPI assigned

Jun 13, 2005

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Rutgers New Jersey Medical School, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Consensus Medical Group LLCGroup PAC ID 2961748181, 138 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: traci.tamburello.1@18614.direct.athenahealth.com
• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71872

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Consensus Medical Group LLC

  • Internal Medicine Physician
  • Manasquan, NJ
  • NPI 1811466881
  Medicare reassignment Care Compare group NPD
• Primary Care Partners, LLC

  • Internal Medicine Physician
  • Morristown, NJ
  • NPI 1083900526

  Family Medicine

  Medicare reassignment NPD
• Provider Partners Care Management LP

  • Nurse Practitioner
  • Columbia, MD
  • NPI 1013348028

  Family Medicine, NJ

  Medicare reassignment NPD
• Primary Care Partners, LLC

  • Internal Medicine Physician
  • Vernon, NJ
  • NPI 1508297680
  NPD
• CMG Medical Group I LLC

  • Family Medicine Physician
  • Manalapan, NJ
  • NPI 1942778014
  NPD (past)
• Ima Urgent Care

  • Urgent Care Clinic/Center
  • Shrewsbury, NJ
  • NPI 1427432244
  NPD (past)
• Integrated Medicine Alliance PA

  • Internal Medicine Physician
  • Shrewsbury, NJ
  • NPI 1649252776

  Family Medicine

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1013911486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 LIPPINCOTT DR",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534112",
            "telephone_number": "856-782-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1098 STELTON RD",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088545288",
            "telephone_number": "732-572-5950",
            "fax_number": "732-572-6384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMBURELLO",
        "first_name": "TRACI",
        "middle_name": "A",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-13",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MB07292000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Marie Taffet, RPH
• John Taggart
• Basirah Taha, CNS
• Salman Tahir-Hussain
• Kristy Nimyan Tam, DPT
• Ritu Taneja, M.D.
• Jeremy Sui Bon Tang, MD, PHD
• Leshawn Tanksley
• Alen R Tar, DPM
• Kristin Tatulli, LSW

• Family Medicine Physician in Piscataway, NJ
• Providers in Piscataway, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.