Active NPI
Tessaneka Hill
- Family Nurse Practitioner
- Lawrence, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- 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
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, CIC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518419449 | Medicaid | NJ |
Other names 1
- DAISY'S MEDICAL SERVICES
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D2281681 | Daisy'S Medical Services | Certificate of waiver | May 9, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Daisy'S Medical Services
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Ewing, NJ
- NPI 1861189037
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Lawrenceville, NJ
- NPI 1518419449
Family, NJ
-
- Non-emergency Medical Transport (VAN)
- Trenton, NJ
- NPI 1750070496
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.