Individual provider Active NPI

Tiffany Fearon

  • Family Nurse Practitioner
  • Mount Laurel, NJ
National Provider Identifier
1164846325
Registry record updated Aug 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00481400 Issued in NJ
Practice address
3110 Route 38
Mount Laurel, NJ 08054-9724
Phone
(866) 389-2727
NPI assigned
Feb 8, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ00481400 NJ Primary

Addresses

Primary practice location

3110 Route 38
Mount Laurel, NJ 08054-9724

Mailing address

3110 Route 38
Mount Laurel, NJ 08054-9724

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA, FL3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20140505002069 NJ Practitioner - Nurse Practitioner 8426281056 Reassigns benefits to 3 organizations
I20230111002221 PA Practitioner - Nurse Practitioner 8426281056 Reassigns benefits to 1 organization
I20230111003261 FL Practitioner - Nurse Practitioner 8426281056 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic Diagnostic of New Jersey LLCGroup PAC ID 8527142439, 112 clinicians

Practice addresses (Care Compare)

3110 Route 38
Mount Laurel, NJ 08054-9724
Phone (866) 389-2727

4 Ryan Rd
Marlboro, NJ 07746-2445
Phone (866) 389-2727

Merit-based Incentive Payment System (MIPS)

Final score
82.41 of 100Reported as group
Quality
77.71
Improvement activities
40
Cost
82.25

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central Jersey Urgent Care CurrentSince Aug 6, 2022 Accepting new patients
Minuteclinic Primary Care New Jersey LLC Family CurrentSince Jul 16, 2025 Accepting new patients
Carbon Health Medical Group of Florida PA CurrentSince Oct 30, 2022 Accepting new patients
Carbon Health Medical Group of Florida PA CurrentSince Apr 1, 2023 Accepting new patients
Central Jersey Urgent Care CurrentSince Aug 6, 2022 Accepting new patients
Carbon Health Medical Group of Florida PA CurrentSince Oct 30, 2022 Accepting new patients
Minuteclinic Diagnostic of New Jersey LLC Family CurrentSince Mar 31, 2014 Accepting new patients
Cloud Health Medical Group of New Jersey, P.C. Past Accepting new patients
Cloud Health Medical Group, P.a. Past Accepting new patients

Locations

2920 Telegraph Ave
Ste 100
Berkeley, CA 94705
Phone (415) 329-3727

4825 SW 148th Ave
Davie, FL 33330
Phone (954) 526-7291

915 W 49th St
Hialeah, FL 33012
Phone (305) 200-1225

471 Main St
Chatham, NJ 07928
Phone (973) 635-4636

4 Ryan Rd
Marlboro, NJ 07746
Phone (732) 431-8700

3110 Route 38
Mount Laurel, NJ 08054
Phone (856) 235-7126

731 State Route 35
Unit G
Ocean, NJ 07712
Phone (732) 455-8444

307 Egg Harbor Rd
Sewell, NJ 08080
Phone (856) 589-1177

2019 Welsh Rd
Dresher, PA 19025
Phone (267) 434-1107

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1391817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471046400000",
    "number": "1164846325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3110 ROUTE 38",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080549724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 ROUTE 38",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080549724",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEARON",
        "first_name": "TIFFANY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-08",
        "last_updated": "2016-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00481400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Laurel, NJ

Sources for this page

Verify at the official NPI Registry.