Individual provider Active NPI

Taylor Rose Farley, PA-C

  • Physician Assistant
  • Cherry Hill, NJ
National Provider Identifier
1043924970
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00758700 Issued in NJ
Practice address
1916 Marlton Pike E Ste 1
Cherry Hill, NJ 08003-2139
Phone
(856) 424-1700
NPI assigned
Jan 5, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 25MP00758700 NJ Primary
Physician Assistant 363A00000X OA006362 PA
Physician Assistant 363A00000X MA064307 PA

Addresses

Primary practice location

1916 Marlton Pike E Ste 1
Cherry Hill, NJ 08003-2139

Mailing address

1251 Holly CT
Yardley, PA 19067-2821

Other practice location 1

101 E 8th Ave Ste 210
Conshohocken, PA 19428-1773
Phone (267) 638-5361

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA064307PAMDPhysician Assistant
OA006362PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Davis Cosmetic Plastic Surgery PastSince Oct 13, 2024 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1672876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1043924970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1251 HOLLY CT",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190672821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1916 MARLTON PIKE E STE 1",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080032139",
            "telephone_number": "856-424-1700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 E 8th Ave Ste 210",
            "address_purpose": "LOCATION",
            "city": "Conshohocken",
            "state": "PA",
            "postal_code": "194281773",
            "country_code": "US",
            "telephone_number": "267-638-5361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARLEY",
        "first_name": "TAYLOR",
        "middle_name": "ROSE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-05",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00758700",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA006362",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA064307",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.