Active NPI
Tara Lee Lautenslager, M.D.
- Gastroenterology Physician
- Mount Laurel, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 25MA09466500
- Practice address
- 501 Fellowship Rd
Suite 101
Mount Laurel, NJ 08054-3419 - Phone
- (856) 642-2133
- NPI assigned
- Apr 6, 2009
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 25MA09466500 | NJ | Primary |
Addresses
Primary practice location
501 Fellowship Rd
Suite 101
Mount Laurel, NJ 08054-3419
Mailing address
1 Federal St # 200
Camden, NJ 08103-1088
Phone (856) 356-4924
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Rutgers School of Dental Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Cooper PLZ
Camden, NJ 08103-1461
Phone (856) 342-4192
2 Cooper PLZ
Camden, NJ 08103-1461
Phone (855) 632-2667
3 Cooper PLZ
Camden, NJ 08103-1438
400 W Route 38
FL 2
Moorestown, NJ 08057-3219
Phone (856) 270-4004
501 Fellowship Rd
Suite 101
Mount Laurel, NJ 08054-3419
Phone (856) 642-2133
Hospital & facility affiliations
- Cooper University Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.83 of 100
- Quality
- 88.78
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 74.17
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 80 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 74 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CMC Department of Medicine Group PA | Current | Accepting new patients |
Locations
3 Cooper Plz
Rm 403
Camden, NJ 08103
Phone (856) 342-2439
1 Federal St
Ste SW200
Camden, NJ 08103
Phone (856) 356-4920
3 Cooper Plz
Rm 104
Camden, NJ 08103
Phone (609) 963-6770
1 Cooper Plz
Fl 6
Camden, NJ 08103
Phone (856) 342-2065
1 Federal St
#200
Camden, NJ 08103
1 Cooper Plz
Camden, NJ 08103
Phone (856) 342-2425
3 Cooper Plz
Rm 311
Camden, NJ 08103
Phone (856) 342-2034
3 Cooper Plz
Rm 215
Camden, NJ 08103
Phone (856) 342-2439
400 W Route 38
Fl 2
Moorestown, NJ 08057
Phone (856) 270-4002
309 Bridgeboro Rd
Moorestown, NJ 08057
Phone (856) 439-2000
501 Fellowship Rd
Ste 101
Mount Laurel, NJ 08054
Phone (856) 963-3572
501 Fellowship Rd
Ste 102
Mount Laurel, NJ 08054
Phone (856) 380-1768
390 N Broadway
Ste 100
Pennsville, NJ 08070
Phone (609) 678-6411
310 Salem Woodstown Rd
Salem, NJ 08079
Phone (856) 339-6054
1 Plaza Dr
Ste 103
Sewell, NJ 08080
Phone (856) 270-4080
6100 Main St
Voorhees, NJ 08043
Phone (856) 673-4912
100 Bowman Dr
Voorhees, NJ 08043
Phone (856) 247-3000
Interoperability endpoints
- tlautenslager1149@direct.cooperhealth.edu
Organizations & group practices 2
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.
-
- Cardiovascular Disease Physician
- Camden, NJ
- NPI 1609908094
-
- Specialist
- Camden, NJ
- NPI 1386682094
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Camden, NJ
- NPI 1568442309
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557446400000",
"number": "1114169174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 FEDERAL ST # 200",
"city": "CAMDEN",
"state": "NJ",
"postal_code": "081031088",
"telephone_number": "856-356-4924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 FELLOWSHIP RD",
"address_2": "SUITE 101",
"city": "MOUNT LAUREL",
"state": "NJ",
"postal_code": "080543419",
"telephone_number": "856-642-2133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAUTENSLAGER",
"first_name": "TARA",
"middle_name": "LEE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-06",
"last_updated": "2019-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NJ",
"license": "25MA09466500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Laurel, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2019; 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.