Individual provider Active NPI

Tami Bach, MD

  • Hematology & Oncology Physician
  • Mickleton, NJ
National Provider Identifier
1306887245
Registry record updated Oct 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
25MA08174400 Issued in NJ
Practice address
174 Democrat Rd
Mickleton, NJ 08056-1236
Phone
(856) 423-0754
NPI assigned
Jun 10, 2006
Last updated
Oct 29, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 25MA08174400 NJ Primary
Hematology & Oncology Physician 207RH0003X MD071653L PA

Addresses

Primary practice location

174 Democrat Rd
Mickleton, NJ 08056-1236

Mailing address

174 Democrat Rd
Mickleton, NJ 08056-1236
Phone (856) 423-0754

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040902001270 PA Practitioner - HematologyPractitioner - Medical Oncology 5395711105 Reassigns benefits to 1 organization
I20070501000376 NJ Practitioner - HematologyPractitioner - Internal MedicinePractitioner - Medical Oncology 5395711105 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
HematologyAlso: Internal Medicine, Medical Oncology
Education
Jefferson Medical College of Thomas Jefferson University, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Minniti Center for Medical Oncology and HematologyGroup PAC ID 4385740778, 2 clinicians

Practice addresses (Care Compare)

1006 Mantua Pike
Woodbury, NJ 08097-1221
Phone (856) 845-8600

174 Democrat Rd
Mickleton, NJ 08056-1236
Phone (856) 423-0754

200 Bowman Dr
Voorhees, NJ 08043-9623
Phone (856) 424-3311

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Healthcare Associates of New Jersey Specialty Practices PC Hematology & Oncology CurrentSince Jun 1, 2025 Accepting new patients
Clinical Healthcare Associates of New Jersey Specialty Practices PC CurrentSince Jun 1, 2025 Accepting new patients
Clinical Health Care Associates of New Jersey, P.C. CurrentSince Nov 1, 2013 Accepting new patients
University of Penn-Medical Group Hematology & Oncology CurrentSince Jul 1, 2004 Accepting new patients
The Minniti Center for Medical Oncology and Hematology Hematology & Oncology CurrentSince Apr 1, 2007 Accepting new patients
University of Penn-Medical Group CurrentSince Jul 1, 2004 Accepting new patients
University of Penn - Medical Group Past Accepting new patients

Locations

174 Democrat Rd
Mickleton, NJ 08056
Phone (856) 423-0754

5 Plainsboro Rd
Ste 540
Plainsboro, NJ 08536
Phone (609) 853-6590

200 Bowman Dr
Ste E125
Voorhees, NJ 08043
Phone (856) 336-2641

1006 Mantua Pike
Spc Care
Woodbury, NJ 08097
Phone (856) 845-8600

1006 Mantua Pike
Woodbury Hts, NJ 08097
Phone (856) 845-6880

3400 Civic Center Blvd
#2
Philadelphia, PA 19104
Phone (215) 615-0063

3400 Convention Ave
Philadelphia, PA 19104
Phone (215) 662-2300

3400 Spruce St
#15
Philadelphia, PA 19104
Phone (215) 573-2784

3400 Spruce St
Fl 3
Philadelphia, PA 19104

3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669

Organizations & group practices 7

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 4

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": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383004800000",
    "number": "1306887245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 DEMOCRAT RD",
            "city": "MICKLETON",
            "state": "NJ",
            "postal_code": "080561236",
            "telephone_number": "856-423-0754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 DEMOCRAT RD",
            "city": "MICKLETON",
            "state": "NJ",
            "postal_code": "080561236",
            "telephone_number": "856-423-0754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACH",
        "first_name": "TAMI",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-10",
        "last_updated": "2013-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NJ",
            "license": "25MA08174400",
            "primary": true
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "PA",
            "license": "MD071653L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mickleton, NJ

Sources for this page

Verify at the official NPI Registry.