Individual provider Active NPI

Jennifer Joan Tiernan-Palermo, FNP-BC

  • Family Nurse Practitioner
  • Moorestown, NJ
National Provider Identifier
1790311587
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ01024200 Issued in NJ
Practice address
301 N Church St Ste 101
Moorestown, NJ 08057-2498
Phone
(856) 234-2101
NPI assigned
Mar 12, 2020
Last updated
Dec 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ01024200 NJ Primary
Family Medicine Physician 207Q00000X 26NJ01024200 NJ

Addresses

Primary practice location

301 N Church St Ste 101
Moorestown, NJ 08057-2498

Mailing address

255 Lucas LN Apt 8
Voorhees, NJ 08043-2530
Phone (267) 939-0411

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
I20200813000697 NJ Practitioner - Nurse Practitioner 8921424524 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advocare, LLCGroup PAC ID 3678562188, 383 clinicians

Practice addresses (Care Compare)

1001 Laurel Oak Rd
Voorhees, NJ 08043-3512

132 Grove St
Suite a
Haddonfield, NJ 08033-1224
Phone (856) 354-2211

200 Route 73
Suite 2B
Voorhees, NJ 08043-9611
Phone (856) 335-0400

301 N Church St
Suite 101
Moorestown, NJ 08057-2498
Phone (856) 234-2101

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ01024200NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advocare, LLC Family Medicine CurrentSince Oct 1, 2020 Accepting new patients
Advocare , LLC CurrentSince Oct 1, 2020 Accepting new patients
Advocare, LLC Past Accepting new patients

Locations

132 Grove St
Ste A
Haddonfield, NJ 08033
Phone (856) 354-2211

401 Route 73 N
Ste 320
Marlton, NJ 08053
Phone (609) 471-1033

301 N Church St
Ste 101
Moorestown, NJ 08057
Phone (856) 234-2101

25 Lindsley Dr
Ste 205
Morristown, NJ 07960
Phone (973) 993-8777

Interoperability endpoints

  • Direct secure messaging: jennifer.tiernanpalermo@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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1583971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1790311587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 LUCAS LN APT 8",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080432530",
            "telephone_number": "267-939-0411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N CHURCH ST STE 101",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080572498",
            "telephone_number": "856-234-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIERNAN-PALERMO",
        "first_name": "JENNIFER",
        "middle_name": "JOAN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-12",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01024200",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "26NJ01024200",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorestown, NJ

Sources for this page

Verify at the official NPI Registry.