Active NPI
Tyler Conrad Hafer, PA-C
- Physician Assistant
- Hamilton, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 2501 Kuser Rd Ste 3
Hamilton, NJ 08691-3386 - Phone
- (609) 896-0444
- NPI assigned
- Nov 5, 2018
- Sex
- Male
- 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 | Primary |
Addresses
Primary practice location
2501 Kuser Rd Ste 3
Hamilton, NJ 08691-3386
Mailing address
2501 Kuser Rd Ste 3
Hamilton, NJ 08691-3386
Phone (609) 896-0444
Other practice location 1
1203 Langhorne Newtown Rd Ste 220
Langhorne, PA 19047-1209
Phone (215) 860-4274
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tyler.hafer@mbortho.directbygreenway.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1201 Langhorne Newtown Rd
Langhorne, PA 19047-1201
1203 Langhorne Newtown Rd
Suite 120
Langhorne, PA 19047-1211
Phone (267) 364-9100
178 W St Rd
Feasterville, PA 19053-7817
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinity Health Mid-Atlantic Medical Group | Current | Accepting new patients | |
| Trinity Health Mid-Atlantic Medical Group | Current | Accepting new patients | |
| Trinity Health Mid-Atlantic Medical Group | Past | Accepting new patients |
Locations
1203 Langhorne Newtown Rd
Ste 120
Langhorne, PA 19047
Phone (267) 364-9100
4595 New Falls Rd
Unit A
Levittown, PA 19056
Phone (267) 587-3700
1201 Langhorne Newtown Rd
Penndel, PA 19047
Phone (215) 710-2100
178 W Street Rd
Trevose, PA 19053
Phone (215) 322-5042
Interoperability endpoints
- thafer2016888@direct.trinity-health.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba THMA MG Surgical Associates Holme
- Surgery Physician
- Langhorne, PA
- NPI 1972982361
-
- Physical Medicine & Rehabilitation Physician
- Philadelphia, PA
- NPI 1639039175
-
- Family Medicine Physician
- Yardley, PA
- NPI 1639974645
-
dba THMA MG Trauma Service Langhorne
- Trauma Surgery Physician
- Langhorne, PA
- NPI 1093771271
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Newtown, PA
- NPI 1467412296
-
- General Acute Care Hospital
- Langhorne, PA
- NPI 1780686931
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621900800000",
"number": "1467920702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2501 KUSER RD STE 3",
"city": "HAMILTON",
"state": "NJ",
"postal_code": "086913386",
"telephone_number": "609-896-0444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 KUSER RD STE 3",
"city": "HAMILTON",
"state": "NJ",
"postal_code": "086913386",
"telephone_number": "609-896-0444"
}
],
"practiceLocations": [
{
"address_1": "1203 Langhorne Newtown Rd Ste 220",
"address_purpose": "LOCATION",
"city": "Langhorne",
"state": "PA",
"postal_code": "190471209",
"country_code": "US",
"telephone_number": "215-860-4274",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAFER",
"first_name": "TYLER",
"middle_name": "CONRAD",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-11-05",
"last_updated": "2021-05-25",
"certification_date": "2021-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tyler.hafer@mbortho.directbygreenway.com",
"affiliation": "N",
"address_1": "1203 Langhorne Newtown Rd Ste 220",
"city": "Langhorne",
"state": "PA",
"country_code": "US",
"postal_code": "190471209",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
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 May 25, 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.