Individual provider Active NPI

NA'Taya Dautruche-Tingling, FNP

  • Family Nurse Practitioner
  • Glassboro, NJ
National Provider Identifier
1285459891
Registry record updated May 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ15189900 Issued in NJ
Practice address
201 Mullica Hill Rd
Glassboro, NJ 08028-1700
Phone
(856) 256-4000
NPI assigned
Nov 19, 2024
Last updated
May 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ15189900 NJ Primary

Addresses

Primary practice location

201 Mullica Hill Rd
Glassboro, NJ 08028-1700

Mailing address

201 Mullica Hill Rd
Glassboro, NJ 08028-1700

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
I20250509001462 NJ Practitioner - Nurse Practitioner 8820515117 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Patient Care Medical Group PCGroup PAC ID 8022413459, 30 clinicians
Advocare, LLCGroup PAC ID 3678562188, 383 clinicians

Practice addresses (Care Compare)

26 Main St
Edison, NJ 08837-3418
Phone (212) 734-6621

979 N Black Horse Pke
Williamstown, NJ 08094-1044
Phone (856) 629-5151

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ15189900NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advocare, LLC CurrentSince Aug 15, 2025 Accepting new patients
Patient Care Medical Group PC CurrentSince Apr 1, 2025 Accepting new patients
Advocare , LLC CurrentSince Aug 15, 2025 Accepting new patients
Advocare , LLC Past Accepting new patients

Locations

3025 Chapel Ave W
Cherry Hill, NJ 08002
Phone (856) 667-3103

26 Main St
Edison, NJ 08837
Phone (609) 385-2622

132 Grove St
Ste A
Haddonfield, NJ 08033
Phone (856) 354-2211

1 Holtec Dr
Ste 203
Marlton, NJ 08053
Phone (856) 874-7800

401 Route 73 N
Ste 320
Marlton, NJ 08053
Phone (609) 471-1033

2055 Briggs Rd
Ste 106
Mount Laurel, NJ 08054
Phone (856) 231-9666

602 W Sherman Ave
Ste B
Vineland, NJ 08360
Phone (856) 446-6961

979 N Black Horse Pike
Williamstown, NJ 08094
Phone (856) 629-5151

Interoperability endpoints

  • Direct secure messaging: nataya.dautruchetingling@advocaredoctors.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1731974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746748800000",
    "number": "1285459891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 MULLICA HILL RD",
            "city": "GLASSBORO",
            "state": "NJ",
            "postal_code": "080281700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 MULLICA HILL RD",
            "city": "GLASSBORO",
            "state": "NJ",
            "postal_code": "080281700",
            "telephone_number": "856-256-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAUTRUCHE-TINGLING",
        "first_name": "NA'TAYA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-19",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ15189900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glassboro, NJ

Sources for this page

Verify at the official NPI Registry.