Jillian K Tardif, APN-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

26NJ00401200 Issued in NJ

Practice address

485 Williamstown New Freedom Rd
Sicklerville, NJ 08081-1777

Phone

(856) 237-8100

Fax

(856) 237-8042

NPI assigned

Sep 17, 2012

Last updated

Mar 10, 2015By the provider in NPPES

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 identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Advocare, LLC

  • Pediatrics Physician
  • Marlton, NJ
  • NPI 1770538696
  Medicare reassignment NPD
• Advocare , LLC

  dba Advocare Berlin Medical Associates (DME)

  • Internal Medicine Physician
  • Manahawkin, NJ
  • NPI 1912762162
  NPD

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

{
    "created_epoch": "1347840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425945600000",
    "number": "1548510662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 WILLIAMSTOWN NEW FREEDOM RD",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "080811777",
            "telephone_number": "856-237-8100",
            "fax_number": "856-237-8042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 WILLIAMSTOWN NEW FREEDOM RD",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "080811777",
            "telephone_number": "856-237-8100",
            "fax_number": "856-237-8042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARDIF",
        "first_name": "JILLIAN",
        "middle_name": "K",
        "credential": "APN-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-17",
        "last_updated": "2015-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00401200",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NR15387300",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PENDING MEDICAL LICENSE",
            "identifier": "123456789",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victoria Talbert
• Giancarmen Tamburrino, PHARM.D
• Tap Dentistry LLC
• Thomas Tapeh
• Colleen Taraborrelli
• The Devereux Foundation (Devereux Advanced Behavioral Health)
• The Therapeutic Puzzle
• The We Kare Agency
• Jacqueline Thomas
• Katherine L Thomas, D.D.S

• Family Nurse Practitioner in Sicklerville, NJ
• Providers in Sicklerville, NJ by specialty
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.