Tamar A Block Wiener, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

25MP00147100 Issued in NJ

Practice address

807 N Haddon Ave Ste 1
Haddonfield, NJ 08033-1749

Phone

(856) 330-6260

Fax

(833) 606-0166

NPI assigned

Oct 17, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other names 1

• Tamar A Block Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA, NJ2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Touro Un Col of Osteopathic Medicine, New York, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Premier Brain and Spine LLC 128 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

92.57 of 100Reported as group

Quality

86.68

Promoting interoperability

99

Improvement activities

40

Cost

89.37

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tamar.wiener.1@21449.direct.athenahealth.com

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.

• Premier Brain and Spine, LLC

  • Neurological Surgery Physician
  • Union, NJ
  • NPI 1922771377

  Medical, NJ

  Medicare reassignment NPD
• Rothman Orthopaedics of New Jersey, LLC

  • Orthopaedic Surgery Physician
  • Marlton, NJ
  • NPI 1215978630

  NJ

  Medicare reassignment NPD
• Reconstructive Orthopaedic Associates II LLC

  • Orthopaedic Surgery Physician
  • Philadelphia, PA
  • NPI 1861433278

  PA

  Medicare reassignment NPD
• Premier Brain and Spine LLC

  • Durable Medical Equipment & Medical Supplies
  • Shrewsbury, NJ
  • NPI 1427944156
  NPD
• Rothman Institute of New Jersey, P.a.

  • Prosthetic/Orthotic Supplier
  • Manahawkin, NJ
  • NPI 1831611243
  NPD
• Reconstructive Orthopaedic Associates II LLC

  • Prosthetic/Orthotic Supplier
  • Philadelphia, PA
  • NPI 1497571830
  NPD

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1114008372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 MATAWAN RD STE 302",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077472653",
            "telephone_number": "732-441-7177",
            "fax_number": "732-441-7165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 N HADDON AVE STE 1",
            "city": "HADDONFIELD",
            "state": "NJ",
            "postal_code": "080331749",
            "telephone_number": "856-330-6260",
            "fax_number": "833-606-0166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOCK WIENER",
        "first_name": "TAMAR",
        "middle_name": "A",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA052662",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA052662",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00147100",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "PA",
            "license": "MA052662",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Tamar.Wiener.1@21449.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "Premier Brain and Spine, LLC",
            "address_1": "807 N Haddon Ave Ste 1",
            "city": "Haddonfield",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080331749",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TAMAR",
            "last_name": "BLOCK",
            "middle_name": "A",
            "credential": "PAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nana Adwoa Efa Bekoe, PHARM D
• Bernard J Ronis MD & Emil P Liebman PTR
• Adam D Berr, ATP
• Jennifer Gabrielle Bidey, CRNP
• Zach S Bille
• Cheryl Ann Blocker-Cappelletti MSN, RN CCM, RN
• Lily W Bollinger, PSYD
• Paul C Booker, EDD PSYCHOLOGIST
• Borough of Haddonfield
• Janis L Bossert, MSW, LCSW

• All providers in Haddonfield, NJ
• Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2026; 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.