Individual provider Active NPI

Anthony C Tamburello, MD

  • Psychiatry Physician
  • Bridgeton, NJ
National Provider Identifier
1487649364
Registry record updated May 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
25MA08114800 Issued in NJ
Practice address
215 S Burlington Rd
Bridgeton, NJ 08302-3479
Phone
(856) 459-8239
Fax
(856) 459-8713
NPI assigned
Sep 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X D59535 MD
Psychiatry Physician 2084P0800X 25MA08114800 NJ Primary
Forensic Psychiatry Physician 2084F0202X 25MA08114800 NJ

Addresses

Primary practice location

215 S Burlington Rd
Bridgeton, NJ 08302-3479

Mailing address

215 S Burlington Rd
Bridgeton, NJ 08302-3479
Phone (856) 459-8239

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA08114800NJMDForensic Psychiatry Physician
D59535MDMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211846400000",
    "number": "1487649364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 S BURLINGTON RD",
            "city": "BRIDGETON",
            "state": "NJ",
            "postal_code": "083023479",
            "telephone_number": "856-459-8239",
            "fax_number": "856-459-8713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 S BURLINGTON RD",
            "city": "BRIDGETON",
            "state": "NJ",
            "postal_code": "083023479",
            "telephone_number": "856-459-8239",
            "fax_number": "856-459-8713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMBURELLO",
        "first_name": "ANTHONY",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-15",
        "last_updated": "2008-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D59535",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA08114800",
            "primary": true
        },
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "NJ",
            "license": "25MA08114800",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.