Active NPI
Stephen Tai, MD
- Otolaryngology Physician
- Marlton, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 25MA09772700
- Practice address
- 406 Lippincott Dr Ste F
Marlton, NJ 08053-4168 - Phone
- (856) 435-9100
- Fax
- (856) 435-9112
- NPI assigned
- Jun 22, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | MD439559 | PA | |
| Otolaryngology Physician | 207Y00000X | 25MA09772700 | NJ | Primary |
Addresses
Primary practice location
406 Lippincott Dr Ste F
Marlton, NJ 08053-4168
Mailing address
826 Main St
Suite 201
Phoenixville, PA 19460-4459
Phone (610) 415-1100
Other practice location 1
826 Main St Ste 201
Phoenixville, PA 19460-4459
Phone (610) 415-1100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 220491YEXC | Other | PA | MEDICARE PTAN |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Jefferson Medical College of Thomas Jefferson University, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
406 Lippincott Dr
Suite F
Marlton, NJ 08053-4168
Phone (856) 435-9100
Hospital & facility affiliations
- West Jersey Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA09772700 | NJ | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advocare , LLC | Current | Accepting new patients | |
| Advocare, LLC | Current | Accepting new patients | |
| Advocare, LLC | Past | Accepting new patients |
Locations
132 Grove St
Ste A
Haddonfield, NJ 08033
Phone (856) 354-2211
402 Lippincott Dr
Marlton, NJ 08053
Phone (410) 763-8787
401 Route 73 N
Ste 320
Marlton, NJ 08053
Phone (609) 471-1033
406 Lippincott Dr
Ste F
Marlton, NJ 08053
Phone (609) 985-6800
Interoperability endpoints
- stephen.tai@advocaredoctors.eclinicaldirectplus.com
Organizations & group practices 3
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.
-
- Pediatrics Physician
- Marlton, NJ
- NPI 1770538696
-
- Internal Medicine Physician
- Manahawkin, NJ
- NPI 1912762162
-
- Pediatrics Physician
- Cherry Hill, NJ
- NPI 1780696732
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Voorhees, NJ
- NPI 1528064409
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524787200000",
"number": "1689870073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "826 MAIN ST",
"address_2": "SUITE 201",
"city": "PHOENIXVILLE",
"state": "PA",
"postal_code": "194604459",
"telephone_number": "610-415-1100",
"fax_number": "610-415-1101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "406 LIPPINCOTT DR STE F",
"city": "MARLTON",
"state": "NJ",
"postal_code": "080534168",
"telephone_number": "856-435-9100",
"fax_number": "856-435-9112"
}
],
"practiceLocations": [
{
"address_1": "826 Main St Ste 201",
"address_purpose": "LOCATION",
"city": "Phoenixville",
"state": "PA",
"postal_code": "194604459",
"country_code": "US",
"telephone_number": "610-415-1100",
"fax_number": "610-415-1101",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TAI",
"first_name": "STEPHEN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-22",
"last_updated": "2018-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "PA",
"license": "MD439559",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "NJ",
"license": "25MA09772700",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "220491YEXC",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marlton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2018; 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.