Individual provider Active NPI

Tracy Lynn Dooley, NP-C, MSN, RN-BC

  • Family Nurse Practitioner
  • Glassboro, NJ
National Provider Identifier
1831839406
Registry record updated Apr 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ01294900 Issued in NJ
Practice address
1120 Delsea Dr N
Glassboro, NJ 08028-1444
Phone
(856) 507-2783
Fax
(856) 205-0145
NPI assigned
Mar 31, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ01294900 NJ Primary

Addresses

Primary practice location

1120 Delsea Dr N
Glassboro, NJ 08028-1444

Mailing address

62 Chestnut Rd
Bridgeton, NJ 08302-6511
Phone (609) 202-7444

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
I20220502000796 NJ Practitioner - Nurse Practitioner 6002203569 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inspira Health Network Urgent Care PCGroup PAC ID 2769657659, 43 clinicians

Practice addresses (Care Compare)

200 Rowan Blvd
Glassboro, NJ 08028-2260
Phone (856) 582-1500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ01294900NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inspira Health Network Urgent Care, P.C. CurrentSince Apr 1, 2022 Accepting new patients
Inspira SJ Urgent Care PC CurrentSince Jun 17, 2022 Accepting new patients
South Jersey Urgicare LLC PastSince Jul 1, 2014 Accepting new patients
Regional Diagnostic Imaging, LLC Past Accepting new patients
Inspira Health Network Medical Group, P.C. Past Accepting new patients

Locations

200 Rowan Blvd
Glassboro, NJ 08028
Phone (856) 582-0500

1120 Delsea Dr N
Glassboro, NJ 08028
Phone (856) 205-7071

1297 W Landis Ave
Vineland, NJ 08360
Phone (856) 507-8548

3722 E Landis Ave
Ste I
Vineland, NJ 08361
Phone (856) 213-5900

3722 E Landis Ave
Ste Ij
Vineland, NJ 08361
Phone (856) 213-5900

3722 E Landis Ave
Unit 1
Vineland, NJ 08361
Phone (856) 213-5900

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1648684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649289600000",
    "number": "1831839406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 CHESTNUT RD",
            "city": "BRIDGETON",
            "state": "NJ",
            "postal_code": "083026511",
            "telephone_number": "609-202-7444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 DELSEA DR N",
            "city": "GLASSBORO",
            "state": "NJ",
            "postal_code": "080281444",
            "telephone_number": "856-507-2783",
            "fax_number": "856-205-0145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOOLEY",
        "first_name": "TRACY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "NP-C, MSN, RN-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-31",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01294900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glassboro, NJ

Sources for this page

Verify at the official NPI Registry.