Individual provider Active NPI

Cynthia Tegethoff, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Phillipsburg, NJ
National Provider Identifier
1275967192
Registry record updated Oct 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ00458500 Issued in NJ
Practice address
480 Memorial Pkwy Unit 4
Phillipsburg, NJ 08865-1575
Phone
(908) 854-3088
Fax
(610) 991-7774
NPI assigned
Aug 27, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ00458500 NJ Primary

Addresses

Primary practice location

480 Memorial Pkwy Unit 4
Phillipsburg, NJ 08865-1575

Mailing address

2708 Sullivan TRL
Easton, PA 18040-7907
Phone (570) 972-4724

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ00458500NJMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pamela F. Moss, M.D. Past Accepting new patients

Organizations & group practices 1

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": "1377561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572393600000",
    "number": "1275967192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2708 SULLIVAN TRL",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180407907",
            "telephone_number": "570-972-4724",
            "fax_number": "610-991-7774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 MEMORIAL PKWY UNIT 4",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088651575",
            "telephone_number": "908-854-3088",
            "fax_number": "610-991-7774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEGETHOFF",
        "first_name": "CYNTHIA",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-27",
        "last_updated": "2019-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00458500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phillipsburg, NJ

Sources for this page

Verify at the official NPI Registry.