Active NPI
Tamara M Mattison, ARRT R MR
- Driver
- Marlton, NJ
National Provider Identifier
1083339055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- Practice address
- 2001 Lincoln Dr W Ste D
Marlton, NJ 08053-1531 - Phone
- (609) 917-7627
- NPI assigned
- Oct 11, 2022
- Last updated
- Oct 11, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | Primary |
Addresses
Primary practice location
2001 Lincoln Dr W Ste D
Marlton, NJ 08053-1531
Mailing address
67 W Cherokee Dr
Newark, DE 19713-3922
Phone (302) 765-8607
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | www.oneabusua.com | Direct |
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665446400000",
"number": "1083339055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "67 W CHEROKEE DR",
"city": "NEWARK",
"state": "DE",
"postal_code": "197133922",
"telephone_number": "302-765-8607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 LINCOLN DR W STE D",
"city": "MARLTON",
"state": "NJ",
"postal_code": "080531531",
"telephone_number": "609-917-7627"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATTISON",
"first_name": "TAMARA",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "ARRT R MR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-10-11",
"last_updated": "2022-10-11",
"certification_date": "2022-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "www.oneabusua.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "609-917-7627",
"address_1": "2001 Lincoln Dr W Ste D",
"city": "Marlton",
"state": "NJ",
"country_code": "US",
"postal_code": "080531531",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Marlton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.