Individual provider Active NPI

Tammy Heinrich

  • Adult Health Nurse Practitioner
  • Ventnor City, NJ
National Provider Identifier
1427822741
Registry record updated Jul 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NJ15038900 Issued in NJ
Practice address
6725 Ventnor Ave Ste C
Ventnor City, NJ 08406-2166
Phone
(609) 350-6780
NPI assigned
Nov 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 26NR13134700 NJ
Adult Health Nurse Practitioner 363LA2200X 26NJ15038900 NJ Primary

Addresses

Primary practice location

6725 Ventnor Ave Ste C
Ventnor City, NJ 08406-2166

Mailing address

1202 Canal Ave
Manahawkin, NJ 08050-2210

Other practice location 1

1202 Canal Ave
Manahawkin, NJ 08050-2210
Phone (609) 276-2022

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
I20240905003290 NJ Practitioner - Nurse Practitioner 8921548991 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Garden State Medical Center, LLCGroup PAC ID 8123271806, 11 clinicians

Practice addresses (Care Compare)

1100 Route 70
Whiting, NJ 08759-1003
Phone (732) 202-3000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NR13134700NJMDRegistered Nurse
26NJ15038900NJMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Specialty Medconsultants LLC CurrentSince Jun 22, 2024 Accepting new patients

Locations

415 Chris Gaupp Dr
Ste C
Galloway, NJ 08205
Phone (609) 748-7574

1172 Beacon Ave
#B
Manahawkin, NJ 08050
Phone (609) 350-6780

6725 Ventnor Ave
Ventnor City, NJ 08406
Phone (609) 350-6780

6725 Ventnor Ave
Ste C
Ventnor City, NJ 08406
Phone (609) 350-6780

Organizations & group practices 3

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": "1699315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720137600000",
    "number": "1427822741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 CANAL AVE",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080502210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6725 VENTNOR AVE STE C",
            "city": "VENTNOR CITY",
            "state": "NJ",
            "postal_code": "084062166",
            "telephone_number": "609-350-6780"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1202 Canal Ave",
            "address_purpose": "LOCATION",
            "city": "Manahawkin",
            "state": "NJ",
            "postal_code": "080502210",
            "country_code": "US",
            "telephone_number": "609-276-2022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEINRICH",
        "first_name": "TAMMY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-07",
        "last_updated": "2024-07-05",
        "certification_date": "2024-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR13134700",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ15038900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventnor City, NJ

Sources for this page

Verify at the official NPI Registry.