Individual provider Active NPI

Hijazi McCoy, MSN, APN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Marlton, NJ
National Provider Identifier
1831925122
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ15098800 Issued in NJ
Practice address
10000 Lincoln Dr E Ste 201
Marlton, NJ 08053-3105
Phone
(201) 500-6992
NPI assigned
Sep 12, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ15098800 NJ Primary

Addresses

Primary practice location

10000 Lincoln Dr E Ste 201
Marlton, NJ 08053-3105

Mailing address

1474 Tanyard Rd Ste C100
Sewell, NJ 08080-4222
Phone (855) 932-7476

Other practice location 1

1474 Tanyard Rd Ste C100
Sewell, NJ 08080-4222
Phone (855) 932-7476

Other practice location 2

3322 College Dr Ste C100
Vineland, NJ 08360-6926
Phone (856) 566-6406

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address hmccoy297098@directvirtua.org
Direct Messaging Address hmccoy297098@directvirtua.org

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
I20241213001577 NJ Practitioner - Nurse Practitioner 8426584483 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Virtua Medical Group, PAGroup PAC ID 9830222397, 1,678 clinicians

Practice addresses (Care Compare)

1474 Tanyard Rd
Sewell, NJ 08080-4222

3242 Route 206
Bordentown, NJ 08505-4517

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Virtua Medical Group, PA CurrentSince Feb 3, 2025 Accepting new patients
Virtua Medical Group, PA Current Accepting new patients

Locations

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

303 Lippincott Dr
Ste 200
Marlton, NJ 08053
Phone (856) 355-0335

303 Lippincott Dr
Marlton, NJ 08053

141 Route 70 E
Ste E
Marlton, NJ 08053
Phone (856) 985-7373

1474 Tanyard Rd
Ste C100
Sewell, NJ 08080
Phone (855) 932-7476

3322 College Dr
Ste C100
Vineland, NJ 08360
Phone (855) 932-7476

Interoperability endpoints

  • Direct secure messaging: hmccoy297098@directvirtua.org

Organizations & group practices 2

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": "1726099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1831925122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1474 TANYARD RD STE C100",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080804222",
            "telephone_number": "855-932-7476",
            "fax_number": "856-566-6320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 LINCOLN DR E STE 201",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533105",
            "telephone_number": "201-500-6992"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1474 Tanyard Rd Ste C100",
            "address_purpose": "LOCATION",
            "city": "Sewell",
            "state": "NJ",
            "postal_code": "080804222",
            "country_code": "US",
            "telephone_number": "855-932-7476",
            "fax_number": "856-566-6320",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3322 College Dr Ste C100",
            "address_purpose": "LOCATION",
            "city": "Vineland",
            "state": "NJ",
            "postal_code": "083606926",
            "country_code": "US",
            "telephone_number": "856-566-6406",
            "fax_number": "856-566-6320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "HIJAZI",
        "credential": "MSN, APN, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-12",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ15098800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hmccoy297098@directvirtua.org",
            "affiliation": "N",
            "address_1": "1474 Tanyard Rd Ste C100",
            "city": "Sewell",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080804222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hmccoy297098@directvirtua.org",
            "affiliation": "N",
            "address_1": "3322 College Dr Ste C100",
            "city": "Vineland",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "083606926",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

Verify at the official NPI Registry.