Tricare at Inspira

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

TRICARE AT INSPIRA

Practice address

825 Noahs Rd
Pleasantville, NJ 08232-4227

Phone

(609) 646-1002

Fax

(609) 241-6098

NPI assigned

Aug 7, 2024

Organization subpart

No

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

Authorized official

Name

Warren E. Moore

Title

Executive Vice President & Coo

Phone

(856) 641-6602

Specialties & licenses 1

Addresses

Other names 1

• Tricare Medical Transportation Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Inspira Medical Centers, Inc.

  • Emergency Care Clinic/Center
  • Woodbury, NJ
  • NPI 1972141091

  Member Of

  NPD member
• TCMT Holdings, LLC

  • Land Ambulance
  • Pleasantville, NJ
  • NPI 1407158694

  Member Of

  NPD member

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Emmanuel Amofah, DO

  • Family Medicine Physician
  • Mullica Hill, NJ
  • NPI 1639708498
  NPD
• Regina Marie Mangano, APN

  • Nurse Practitioner
  • Mullica Hill, NJ
  • NPI 1760197230
  NPD

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

{
    "created_epoch": "1722988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733443200000",
    "number": "1134959604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 BRIDGETON PIKE",
            "city": "MULLICA HILL",
            "state": "NJ",
            "postal_code": "080622669",
            "telephone_number": "856-641-6608",
            "fax_number": "856-575-5029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 NOAHS RD",
            "city": "PLEASANTVILLE",
            "state": "NJ",
            "postal_code": "082324227",
            "telephone_number": "609-646-1002",
            "fax_number": "609-241-6098"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34 W Park Ave",
            "address_purpose": "LOCATION",
            "city": "Vineland",
            "state": "NJ",
            "postal_code": "083603509",
            "country_code": "US",
            "telephone_number": "856-212-3902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TRICARE AT INSPIRA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-07",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "WARREN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT & COO",
        "authorized_official_telephone_number": "856-641-6602"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tricare Medical Transportation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tricare Medical Transportation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rebekah Lynn Thompson, RPH
• Tiny Hands Learning Services LLC
• Krista Tkacz, NP-C
• Nancy P To
• Gwenetta Townsel, LPN
• Elena Tzorbatzoglou
• Avninder Singh Ubhi, PHARMD
• Augustine Aigbovbioise Unuigbe, M.D
• Shauna Urban
• USA Dental Management

• Land Ambulance in Pleasantville, NJ
• Providers in Pleasantville, NJ by specialty
• Land Ambulance in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.