Tiffany R Haddad, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

306677 Issued in NY

Practice address

204 Jackson St Apt 8
Hoboken, NJ 07030-7647

Phone

(215) 200-9200

NPI assigned

Feb 14, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Tiffany Lyons Former name

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.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Milkbodysoul LLC

  • Lactation Consultant (Registered Nurse)
  • Hoboken, NJ
  • NPI 1386419372
  NPD Authorized official

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

{
    "created_epoch": "1297641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432771200000",
    "number": "1316244130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 JACKSON ST",
            "address_2": "UNIT 8",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070307647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 JACKSON ST APT 8",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070307647",
            "telephone_number": "215-200-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADDAD",
        "first_name": "TIFFANY",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-14",
        "last_updated": "2015-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NJ00346500",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "306677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "LYONS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lauren Elizabeth Haber, CRNP
• Nicole Haberger, OTR/L
• Hackensack Center for Minimally Invasive Gynecologic Surgery, PC
• Hackensack Meridian Urgent Care Plus PC
• Mousa Haddad, M.D.
• Farzana Haider, MSW LCSW
• Cary Beth Hamilton, LCSW
• Hand Therapy Institute
• Rachael Hands, LCSW
• Kyla Hanley, M.S. IN ACUPUNCTURE

• Nurse Practitioner in Hoboken, NJ
• Providers in Hoboken, NJ by specialty
• Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.