Judith Adjeley Tiga, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

MA059708 Issued in PA

Practice address

2501 W Lehigh Ave
Philadelphia, PA 19132-3207

Phone

(215) 227-0300

Fax

(215) 227-0302

NPI assigned

Mar 27, 2018

Last updated

Mar 27, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Philadelphia Fight

  • Internal Medicine Physician
  • Philadelphia, PA
  • NPI 1760507859
  Medicare reassignment NPD
• Quality Community Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Philadelphia, PA
  • NPI 1861490583
  Medicare reassignment NPD
• Quality Community Health Care, Inc.

  dba Cooke Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Philadelphia, PA
  • NPI 1952495707
  NPD (past)

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

{
    "created_epoch": "1522108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522108800000",
    "number": "1184129561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6230 BINGHAM ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191115755",
            "telephone_number": "515-779-7549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 W LEHIGH AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191323207",
            "telephone_number": "215-227-0300",
            "fax_number": "215-227-0302"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 N 18th St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191213232",
            "country_code": "US",
            "telephone_number": "215-765-9501",
            "fax_number": "215-765-9516",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1300 W Louden St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191412603",
            "country_code": "US",
            "telephone_number": "215-457-6902",
            "fax_number": "215-457-6903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIGA",
        "first_name": "JUDITH",
        "middle_name": "ADJELEY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-27",
        "last_updated": "2018-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA059708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Timothy Tierney, PHD
• Luis Octavio Tierradentro Garcia, MD
• Jack Michael Tietema, MD
• Jennifer Tiffany-Amaro, CRNP
• Tiffanys Compassionate Homecare LLC
• Stephen Tigani
• Anthony Michael Tigano, MD
• Christopher Tigges, RRA, RPA
• Heather Lynn Tighe, M.S.W.
• Joseph Vincent Tighe, PT

• Medical Physician Assistant in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Medical Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.