Individual provider Active NPI

Sipika Tyagi, M.D.

  • Obstetrics & Gynecology Physician
  • Moorestown, NJ
National Provider Identifier
1245646579
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
25MA10241500 Issued in NJ
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180615002154 NJ Practitioner - Obstetrics/Gynecology 4486909439 Reassigns benefits to 2 organizations

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
Virtua Medical Group, PAGroup PAC ID 9830222397, 1,678 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
25MA10241500NJMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Virtua Medical Group, PA CurrentSince Sep 20, 2021 Accepting new patients
Virtua Medical Group, PA Current Accepting new patients
Kennedy University Hospital Inc CurrentSince Aug 1, 2018 Accepting new patients
Kennedy University Hospital, Inc. Obstetrics & Gynecology CurrentSince Aug 1, 2018 Accepting new patients
Virtua Medical Group, PA CurrentSince Sep 20, 2021 Accepting new patients
Ashok K. Keswani, M.D., P.C. Obstetrics & Gynecology PastSince May 14, 2007 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.