Organization Active NPI

Tessaneka Hill

  • Family Nurse Practitioner
  • Lawrence, NJ
National Provider Identifier
1760180855
Registry record updated Apr 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
TESSANEKA HILL
Practice address
2500 Brunswick Pike Ste 202
Lawrence, NJ 08648-4134
Phone
(609) 875-2520
Fax
(609) 875-2521
NPI assigned
Feb 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2023

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

Authorized official

Name
Tessaneka F Hill, DNP, FNP-C, CICNPI 1518419449
Title
Ceo
Phone
(856) 554-0082

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

2500 Brunswick Pike Ste 202
Lawrence, NJ 08648-4134

Mailing address

2500 Brunswick Pike Ste 202
Lawrence, NJ 08648-4134
Phone (609) 875-2520

Other practice location 1

1200 S Church St Ste 18
Mount Laurel, NJ 08054-2936
Phone (856) 554-0082

Other identifiers 1

IdentifierTypeStateIssuer
1518419449MedicaidNJ

Other names 1

  • DAISY'S MEDICAL SERVICES Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230622003674 NJ Part B Supplier - Clinic/Group Practice 6507224565 Receives reassigned benefits from 1 practitioner
Practice locations: Mount Laurel, NJ; Lawrence, NJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2281681Daisy'S Medical Services2500 Brunswick Pike, Lawrenceville, NJ 08648Certificate of waiverMay 9, 2027

National Provider Directory

National Provider Directory
Tax ID family
Daisy'S Medical Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1676851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682467200000",
    "number": "1760180855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 BRUNSWICK PIKE STE 202",
            "city": "LAWRENCE",
            "state": "NJ",
            "postal_code": "086484134",
            "telephone_number": "609-875-2520",
            "fax_number": "609-875-2521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 BRUNSWICK PIKE STE 202",
            "city": "LAWRENCE",
            "state": "NJ",
            "postal_code": "086484134",
            "telephone_number": "609-875-2520",
            "fax_number": "609-875-2521"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 S Church St Ste 18",
            "address_purpose": "LOCATION",
            "city": "Mount Laurel",
            "state": "NJ",
            "postal_code": "080542936",
            "country_code": "US",
            "telephone_number": "856-554-0082",
            "fax_number": "856-554-0083",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TESSANEKA HILL",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-20",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "TESSANEKA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "856-554-0082",
        "authorized_official_credential": "DNP, FNP-C, CIC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1518419449",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DAISY'S MEDICAL SERVICES",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DAISY'S MEDICAL SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lawrence, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.