Active NPI
Tamara Opacak, PA-C
- Medical Physician Assistant
- Camden, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 25MP00464100
- Practice address
- 1 Cooper PLZ
Camden, NJ 08103-1461 - Phone
- (856) 342-2000
- NPI assigned
- Dec 20, 2012
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | C0004942 | MD | |
| Medical Physician Assistant | 363AM0700X | MA056127 | PA | |
| Medical Physician Assistant | 363AM0700X | 25MP00464100 | NJ | Primary |
Addresses
Primary practice location
1 Cooper PLZ
Camden, NJ 08103-1461
Mailing address
1 Federal St
Ste Sw200
Camden, NJ 08103-1155
Phone (856) 356-4924
Other practice location 1
300 E Madison St
Baltimore, MD 21202-4260
Phone (410) 545-8146
Other practice location 2
10800 Knights Rd
Philadelphia, PA 19114-4200
Phone (215) 612-4000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Cooper PLZ
Camden, NJ 08103-1461
Phone (856) 342-2000
10800 Knights Rd
Philadelphia, PA 19114-4200
Phone (215) 890-3030
1103 N Kings Hwy 203
Cherry Hill, NJ 08034
Phone (856) 321-1919
2 Cooper PLZ
Camden, NJ 08103-1461
Phone (855) 632-2667
23 Cooper PLZ
Suite 311
Camden, NJ 08103-1461
Phone (856) 342-3044
380 N Oxford Valley Rd
Langhorne, PA 19047-8304
Phone (215) 750-6566
380 Oxford Valley Rd
Langhorne, PA 19047-8304
3998 Red Lion Rd
Philadelphia, PA 19114-1445
Phone (215) 992-6002
4900 Frankford Ave
Philadelphia, PA 19124-2618
Phone (215) 612-5390
501 N Kings Hwy
Cherry Hill, NJ 08034
Phone (856) 667-3300
Hospital & facility affiliations
- Jefferson Health- Northeast
- Cooper University Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C0004942 | MD | MD | Medical Physician Assistant |
| 25MP00464100 | NJ | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aria Health Physician Services | Current | Accepting new patients | |
| Aria Health Physician Services | Current | Accepting new patients | |
| American Current Care P.a . | Current | Accepting new patients | |
| American Current Care P.a. | Current | Accepting new patients |
Locations
3998 Red Lion Rd
Philadelphia, PA 19114
Phone (215) 612-4060
10800 Knights Rd
Philadelphia, PA 19114
Phone (215) 612-2610
2010 Levick St
Philadelphia, PA 19149
Phone (215) 537-4755
15 Freeport Rd
Ste 100
Pittsburgh, PA 15215
Phone (412) 784-1551
Organizations & group practices 7
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.
-
- Internal Medicine Physician
- Camden, NJ
- NPI 1154369510
-
- Family Medicine Physician
- Richboro, PA
- NPI 1750949806
-
- Urgent Care Clinic/Center
- Carlisle, PA
- NPI 1386122828
-
- Urgent Care Clinic/Center
- Beaumont, TX
- NPI 1376356568
-
- Family Medicine Physician
- Philadelphia, PA
- NPI 1053181297
-
- Critical Care Medicine (Internal Medicine) Physician
- Philadelphia, PA
- NPI 1811031131
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1801963343
-
- General Acute Care Hospital
- Camden, NJ
- NPI 1568442309
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587081600000",
"number": "1841536778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 FEDERAL ST",
"address_2": "STE SW200",
"city": "CAMDEN",
"state": "NJ",
"postal_code": "081031155",
"telephone_number": "856-356-4924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 COOPER PLZ",
"city": "CAMDEN",
"state": "NJ",
"postal_code": "081031461",
"telephone_number": "856-342-2000"
}
],
"practiceLocations": [
{
"address_1": "300 E Madison St",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212024260",
"country_code": "US",
"telephone_number": "410-545-8146",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10800 Knights Rd",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191144200",
"country_code": "US",
"telephone_number": "215-612-4000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OPACAK",
"first_name": "TAMARA",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-12-20",
"last_updated": "2020-04-17",
"certification_date": "2020-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "MD",
"license": "C0004942",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PA",
"license": "MA056127",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NJ",
"license": "25MP00464100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Camden, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2020; 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.