Active NPI
Tinamarie Dzienkiewicz, P.A.-C
- Physician Assistant
- Hamilton, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 25MP00323100
- Practice address
- 641 US Highway 130
Hamilton, NJ 08691-2101 - Phone
- (609) 568-9383
- NPI assigned
- Nov 22, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 25MP00323100 | NJ | Primary |
Addresses
Primary practice location
641 US Highway 130
Hamilton, NJ 08691-2101
Mailing address
5000 Cox Rd
Glen Allen, VA 23060-9263
Phone (804) 968-5700
Other names 1
- Tinamarie Gregorio
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | NJExchange@patientfirstclinics.com |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
606 Cross Keys Rd
Sicklerville, NJ 08081-9513
Phone (856) 237-1016
630 Mantua Pike
Woodbury, NJ 08096-3233
Phone (856) 812-2220
641 US Hwy 130
Hamilton, NJ 08691-2101
Phone (609) 568-9383
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MP00323100 | NJ | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Patients First Maryland Physicians Group P C | Current | Accepting new patients | |
| Patient First New Jersey Physicians Group LLC | Current | Accepting new patients | |
| Patient First Maryland Physician'S Group PC | Current | Accepting new patients |
Locations
641 US Highway 130
Hamilton, NJ 08691
Phone (609) 568-9383
630 Mantua Pike
Woodbury, NJ 08096
Phone (856) 812-2220
5000 Cox Rd
Glen Allen, VA 23060
Phone (804) 822-4355
Interoperability endpoints
- njexchange@patientfirstclinics.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 and National Provider Directory roles.
-
- Urgent Care Clinic/Center
- Glen Allen, VA
- NPI 1285317750
NJ
-
- Family Medicine Physician
- Glen Allen, VA
- NPI 1982733564
NJ
-
- Family Medicine Physician
- Woodbury, NJ
- NPI 1396528980
-
- Family Medicine Physician
- Cherry Hill, NJ
- NPI 1114477270
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1385078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614556800000",
"number": "1467882829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5000 COX RD",
"city": "GLEN ALLEN",
"state": "VA",
"postal_code": "230609263",
"telephone_number": "804-968-5700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "641 US HIGHWAY 130",
"city": "HAMILTON",
"state": "NJ",
"postal_code": "086912101",
"telephone_number": "609-568-9383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DZIENKIEWICZ",
"first_name": "TINAMARIE",
"credential": "P.A.-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-22",
"last_updated": "2021-03-01",
"certification_date": "2021-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NJ",
"license": "25MP00323100",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "NJExchange@patientfirstclinics.com",
"affiliation": "N",
"endpointDescription": "email",
"address_1": "641 US Highway 130",
"city": "Hamilton",
"state": "NJ",
"country_code": "US",
"postal_code": "086912101",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "TINAMARIE",
"last_name": "GREGORIO",
"credential": "P.A. -C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Hamilton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.