Active NPI
Sipika Tyagi, M.D.
- Obstetrics & Gynecology Physician
- Moorestown, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 25MA10241500
- Practice address
- 401 Young Ave Ste 325
Moorestown, NJ 08057-4800 - Phone
- (856) 291-8865
- Fax
- (856) 291-8880
- NPI assigned
- Jul 8, 2014
- Last updated
- Aug 8, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Obstetrics & Gynecology Physician | 207V00000X | 25MA10241500 | NJ | Primary |
Addresses
Primary practice location
401 Young Ave Ste 325
Moorestown, NJ 08057-4800
Mailing address
301 Lippincott Dr Ste 410
Marlton, NJ 08053-4197
Phone (856) 355-0340
Other practice location 1
200 Bowman Dr Ste E340
Voorhees, NJ 08043-9636
Phone (856) 247-7600
Other practice location 2
412 Ewan Rd Ste E
Mullica Hill, NJ 08062-3707
Phone (856) 325-3760
Other practice location 3
992 Mantua Pike Ste 104
Woodbury Heights, NJ 08097-1248
Phone (856) 845-5645
Electronic endpoints 4
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | styagi200015@directvirtua.org | ||
| Direct Messaging Address | styagi200015@directvirtua.org | ||
| Direct Messaging Address | styagi200015@directvirtua.org | ||
| Direct Messaging Address | styagi200015@directvirtua.org |
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
- Obstetrics/Gynecology
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
401 Young Ave
Suite 325
Moorestown, NJ 08057-4800
Phone (856) 291-8865
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.15 of 100
- Quality
- 62.28
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.89
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA10241500 | NJ | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virtua Medical Group, PA | Current | Accepting new patients | |
| Virtua Medical Group, PA | Current | Accepting new patients | |
| Kennedy University Hospital Inc | Current | Accepting new patients | |
| Kennedy University Hospital, Inc. | Obstetrics & Gynecology | Current | Accepting new patients |
| Virtua Medical Group, PA | Current | Accepting new patients | |
| Ashok K. Keswani, M.D., P.C. | Obstetrics & Gynecology | Past | Accepting new patients |
Locations
3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340
1945 Route 70 E
Ste C
Cherry Hill, NJ 08003
Phone (856) 325-3760
301 Lippincott Dr
Ste 410
Marlton, NJ 08053
141 Route 70 E
Ste E
Marlton, NJ 08053
Phone (856) 985-7373
303 Lippincott Dr
Marlton, NJ 08053
401 Young Ave
Ste 325
Moorestown, NJ 08057
Phone (800) 346-7834
200 Bowman Dr
Ste E340
Voorhees, NJ 08043
Phone (856) 247-7586
101 Burrs Rd
Ste Ab
Westampton, NJ 08060
Phone (609) 261-0240
992 Mantua Pike
Ste 104
Woodbury Hts, NJ 08097
Phone (856) 845-5645
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Marlton, NJ
- NPI 1649226515
-
dba Kennedy Family Health Services
- Primary Care Clinic/Center
- Somerdale, NJ
- NPI 1295751832
Obstetrics & Gynecology
-
dba Kennedy Health Systems EMS
- Land Ambulance
- Lindenwold, NJ
- NPI 1457330672
-
dba Virtua Reconstructive Orthopedics - Delran
- Orthopaedic Surgery Physician
- Delran, NJ
- NPI 1841087988
-
- Urgent Care Clinic/Center
- Haddon Township, NJ
- NPI 1932659778
-
- Obstetrics & Gynecology Physician
- Woodbury Heights, NJ
- NPI 1649239104
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Voorhees, NJ
- NPI 1528064409
-
dba Virtua Our Lady of Lourdes Hospital
- General Acute Care Hospital
- Camden, NJ
- NPI 1235134024
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723075200000",
"number": "1245646579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 LIPPINCOTT DR STE 410",
"city": "MARLTON",
"state": "NJ",
"postal_code": "080534197",
"telephone_number": "856-355-0340",
"fax_number": "856-355-0330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 YOUNG AVE STE 325",
"city": "MOORESTOWN",
"state": "NJ",
"postal_code": "080574800",
"telephone_number": "856-291-8865",
"fax_number": "856-291-8880"
}
],
"practiceLocations": [
{
"address_1": "200 Bowman Dr Ste E340",
"address_purpose": "LOCATION",
"city": "Voorhees",
"state": "NJ",
"postal_code": "080439636",
"country_code": "US",
"telephone_number": "856-247-7600",
"fax_number": "856-247-7575",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "412 Ewan Rd Ste E",
"address_purpose": "LOCATION",
"city": "Mullica Hill",
"state": "NJ",
"postal_code": "080623707",
"country_code": "US",
"telephone_number": "856-325-3760",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "992 Mantua Pike Ste 104",
"address_purpose": "LOCATION",
"city": "Woodbury Heights",
"state": "NJ",
"postal_code": "080971248",
"country_code": "US",
"telephone_number": "856-845-5645",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TYAGI",
"first_name": "SIPIKA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-08",
"last_updated": "2024-08-08",
"certification_date": "2024-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NJ",
"license": "25MA10241500",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "styagi200015@directvirtua.org",
"affiliation": "N",
"address_1": "992 Mantua Pike Ste 104",
"city": "Woodbury Heights",
"state": "NJ",
"country_code": "US",
"postal_code": "080971248",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "styagi200015@directvirtua.org",
"affiliation": "N",
"address_1": "200 Bowman Dr Ste E340",
"city": "Voorhees",
"state": "NJ",
"country_code": "US",
"postal_code": "080439636",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "styagi200015@directvirtua.org",
"affiliation": "N",
"address_1": "412 Ewan Rd Ste E",
"city": "Mullica Hill",
"state": "NJ",
"country_code": "US",
"postal_code": "080623707",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "styagi200015@directvirtua.org",
"affiliation": "N",
"address_1": "1945 Marlton Pike E Ste C",
"city": "Cherry Hill",
"state": "NJ",
"country_code": "US",
"postal_code": "080032160",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Moorestown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; 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.