Active NPI
Tracy Lynn Dooley, NP-C, MSN, RN-BC
- Family Nurse Practitioner
- Glassboro, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 26NJ01294900
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ01294900 | NJ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inspira Health Network Urgent Care, P.C. | Current | Accepting new patients | |
| Inspira SJ Urgent Care PC | Current | Accepting new patients | |
| South Jersey Urgicare LLC | Past | 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.
-
- Urgent Care Clinic/Center
- Mullica Hill, NJ
- NPI 1255613329
-
- Urgent Care Clinic/Center
- Vineland, NJ
- NPI 1619320991
-
- Multi-Specialty Clinic/Center
- Glassboro, NJ
- NPI 1922177856
-
- Diagnostic Radiology Physician
- Vineland, NJ
- NPI 1972575892
-
- Urgent Care Clinic/Center
- Vineland, NJ
- NPI 1144643909
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.