Tami Bach, MD
Individual provider Active NPI Hematology & Oncology Physician · Mickleton, NJ
NPI 1306887245 · NPPES record last updated Oct 29, 2013
Key facts
- NPI
- 1306887245
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hematology & Oncology Physician 207RH0003X
- License
- 25MA08174400 (NJ)
- Practice address
- 174 Democrat Rd
Mickleton, NJ 08056-1236 - Phone
- (856) 423-0754
- NPI assigned
- Jun 10, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 7
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Hematology
- Education
- Jefferson Medical College of Thomas Jefferson University, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Clinical Healthcare Associates of New Jersey Specialty Practices PC
The Minniti Center for Medical Oncology and Hematology
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
- Inspira Medical Center Mullica Hill
- Inspira Medical Center Vineland
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in PA, NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040902001270 | PA | Practitioner - Hematology |
5395711105 | Reassigns benefits to 1 organization |
| I20070501000376 | NJ | Practitioner - Hematology |
5395711105 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinical Healthcare Associates of New Jersey Specialty Practices PC | Hematology & Oncology | Current |
Accepting new patients |
| Clinical Healthcare Associates of New Jersey Specialty Practices PC | Current |
Accepting new patients | |
| University of Penn-Medical Group | Current |
Accepting new patients | |
| University of Penn-Medical Group | Hematology & Oncology | Current |
Accepting new patients |
| The Minniti Center for Medical Oncology and Hematology | Hematology & Oncology | Current |
Accepting new patients |
| Clinical Health Care Associates of New Jersey, P.C. | Current |
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
3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669
3400 Spruce St
Fl 3
Philadelphia, PA 19104
3400 Spruce St
#15
Philadelphia, PA 19104
Phone (215) 573-2784
3400 Convention Ave
Philadelphia, PA 19104
Phone (215) 662-2300
3400 Civic Center Blvd
#2
Philadelphia, PA 19104
Phone (215) 615-0063
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 25MA08174400 | NJ | Yes |
| 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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1010207620001 | Medicaid | PA |
Other providers in Mickleton, NJ
- Acenda, Inc.
- Advantage Supports
- Dana Apadula
- Breezeway Home Care
- Community Options Inc
- Joshua Crowding
- East Greenwich Township School District
- Ghassan Kraytem
All providers in Mickleton, NJ · Hematology & Oncology Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 29, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.