Individual provider Active NPI

Tracy Lynn Lanoza, APN

  • Family Nurse Practitioner
  • Cherry Hill, NJ
National Provider Identifier
1659518561
Registry record updated Jan 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00178000 Issued in NJ
Practice address
1 Brace Rd Ste C1
Cherry Hill, NJ 08034-2600
Phone
(856) 428-4100
Fax
(856) 428-5748
NPI assigned
Jan 14, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ00178000 NJ Primary

Addresses

Primary practice location

1 Brace Rd Ste C1
Cherry Hill, NJ 08034-2600

Mailing address

301 Lippincott Dr Ste 410
Marlton, NJ 08053-4197
Phone (856) 355-0340

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
I20111107000095 NJ Practitioner - Nurse Practitioner 5890968978 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
82.41 of 100Reported as group
Quality
77.71
Improvement activities
40
Cost
82.25

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Virtua Medical Group, PA CurrentSince Mar 1, 2020 Accepting new patients
Virtua Medical Group, PA CurrentSince Mar 1, 2020 Accepting new patients
Virtua Medical Group, PA Current Accepting new patients
Innovative Training and Healthcare Solutions Family CurrentSince Jan 3, 2025 Accepting new patients
Minuteclinic Diagnostic of New Jersey LLC Family CurrentSince Sep 14, 2011 Accepting new patients

Locations

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

471 Main St
Chatham, NJ 07928
Phone (973) 635-4636

63 Kresson Rd
Ste 101
Cherry Hill, NJ 08034
Phone (856) 428-4100

1 Brace Rd
Ste C1
Cherry Hill, NJ 08034
Phone (856) 428-4100

1 Brace Rd
Ste C
Cherry Hill, NJ 08034
Phone (856) 428-4100

4 Ryan Rd
Marlboro, NJ 07746
Phone (732) 431-8700

301 Lippincott Dr
Ste 410
Marlton, NJ 08053

3718 Church Rd
Mount Laurel, NJ 08054
Phone (609) 605-7836

730 N Broad St
Ste 200
Woodbury, NJ 08096
Phone (856) 251-2340

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1231891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579651200000",
    "number": "1659518561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 LIPPINCOTT DR STE 410",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534197",
            "telephone_number": "856-355-0340",
            "fax_number": "856-355-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BRACE RD STE C1",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080342600",
            "telephone_number": "856-428-4100",
            "fax_number": "856-428-5748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANOZA",
        "first_name": "TRACY",
        "middle_name": "LYNN",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-14",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00178000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

Verify at the official NPI Registry.