Individual provider Active NPI

Tamarah Moffatt, MSN, APN-C

  • Adult Health Nurse Practitioner
  • Cherry Hill, NJ
National Provider Identifier
1255433603
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NN08582100 Issued in NJ
Practice address
1 Brace Rd Ste C1
Cherry Hill, NJ 08034-2600
Phone
(856) 428-4100
Fax
(856) 428-5748
NPI assigned
Sep 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 26NN08582100 NJ Primary

Addresses

Primary practice location

1 Brace Rd Ste C1
Cherry Hill, NJ 08034-2600

Mailing address

301 Lippincott Dr Ste 410
Marlton, NJ 08053-4197
Phone (856) 355-0340

Other identifiers 1

IdentifierTypeStateIssuer
0116424MedicaidNJ

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address tmoffatt18676@directvirtua.org
Direct Messaging Address tmoffatt18676@directvirtua.org
Direct Messaging Address tmoffatt18676@directvirtua.org
Direct Messaging Address tmoffatt18676@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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070301000407 NJ Practitioner - Nurse Practitioner 7517069073 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

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
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NN08582100NJMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Virtua Medical Group, PA CurrentSince Jun 10, 2020 Accepting new patients
Virtua Medical Group, PA Current Accepting new patients
Associated Cardiovascular Consultants Past Accepting new patients
Alliance for Better Care, P.C. Past Accepting new patients

Locations

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

1 Brace Rd
Ste C1
Cherry Hill, NJ 08034
Phone (856) 428-4100

1 Brace Rd
Ste C
Cherry Hill, NJ 08034
Phone (856) 428-4100

63 Kresson Rd
Ste 101
Cherry Hill, NJ 08034
Phone (856) 428-4100

1613 Route 38
Lumberton, NJ 08048
Phone (609) 261-3716

301 Lippincott Dr
Ste 410
Marlton, NJ 08053

728 Marne Hwy
Ste 100C1
Moorestown, NJ 08057
Phone (856) 547-0389

728 Marne Hwy
Ste 200D
Moorestown, NJ 08057

2309 E Evesham Rd
Ste 101B
Voorhees, NJ 08043
Phone (856) 325-4270

730 N Broad St
Ste 200
Woodbury, NJ 08096
Phone (856) 251-2340

Interoperability endpoints

  • Direct secure messaging: tmoffatt18676@directvirtua.org

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1255433603",
    "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": "1 BRACE RD STE C1",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080342600",
            "telephone_number": "856-428-4100",
            "fax_number": "856-428-5748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOFFATT",
        "first_name": "TAMARAH",
        "credential": "MSN, APN-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-05",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NN08582100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0116424",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tmoffatt18676@directvirtua.org",
            "affiliation": "N",
            "address_1": "728 Marne Hwy Ste 100C1",
            "city": "Moorestown",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080573128",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tmoffatt18676@directvirtua.org",
            "affiliation": "N",
            "address_1": "730 N Broadway St. Suite 200A",
            "city": "Woodbury",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "08096",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tmoffatt18676@directvirtua.org",
            "affiliation": "N",
            "address_1": "2309 E Evesham Rd Ste 101B",
            "city": "Voorhees",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080431559",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tmoffatt18676@directvirtua.org",
            "affiliation": "N",
            "address_1": "1 Brace Rd Ste C1",
            "city": "Cherry Hill",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080342600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

Verify at the official NPI Registry.