Amaris Xara Tangen, MSN, APRN, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

26NJ01308600 Issued in NJ

Practice address

4390 Route 130 Ste a
Willingboro, NJ 08046-1065

Phone

(609) 773-8300

NPI assigned

May 24, 2022

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 names 1

• Ms. Amaris Xara Amos Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

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

{
    "created_epoch": "1653350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654128000000",
    "number": "1740928357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "287 TENNENT RD",
            "city": "MORGANVILLE",
            "state": "NJ",
            "postal_code": "077511028",
            "telephone_number": "585-643-0390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4390 ROUTE 130 STE A",
            "city": "WILLINGBORO",
            "state": "NJ",
            "postal_code": "080461065",
            "telephone_number": "609-773-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANGEN",
        "first_name": "AMARIS",
        "middle_name": "XARA",
        "name_prefix": "Mrs.",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-24",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "349023",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01308600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMARIS",
            "last_name": "AMOS",
            "middle_name": "XARA",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nasir Syed
• Noorane Syed
• Magdalena Alicja Szostak, PHARMACIST
• T.H.R.I.V.E. Behavioral Health & Consulting, LLC
• Brian Duc Tang, PHARMD
• Ben Tapper, DO
• Coker D Taylor III
• Doreen Ann Taylor, CNA
• Steven Teague
• Ashleigh Nichole Tepper, WHNP-BC

• Family Nurse Practitioner in Willingboro, NJ
• Providers in Willingboro, 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 Jun 2, 2022; 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.