Individual provider Active NPI

Hadiyah A Blakney, FNP-C

  • Family Nurse Practitioner
  • Mount Laurel, NJ
National Provider Identifier
1841941960
Registry record updated May 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ01244600 Issued in NJ
Practice address
2055 Briggs Rd Ste 106
Mount Laurel, NJ 08054-4630
Phone
(856) 231-9666
Fax
(856) 231-7453
NPI assigned
Jan 11, 2022
Last updated
May 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 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 26NJ01244600 NJ Primary

Addresses

Primary practice location

2055 Briggs Rd Ste 106
Mount Laurel, NJ 08054-4630

Mailing address

104 Powelton Ave
Woodlynne, NJ 08107-2227
Phone (856) 952-2996

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
I20220328002211 NJ Practitioner - Nurse Practitioner 1557756624 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
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)

979 N Black Horse Pke
Williamstown, NJ 08094-1044
Phone (856) 629-5151

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ01244600NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advocare, LLC Single Specialty CurrentSince Apr 4, 2022 Accepting new patients
Advocare , LLC Single Specialty CurrentSince Apr 4, 2022 Accepting new patients
Advocare, LLC Single Specialty Past Accepting new patients
Advocare, LLC Single Specialty PastSince May 8, 2022 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

2055 Briggs Rd
Ste 106
Mount Laurel, NJ 08054
Phone (856) 231-9666

602 W Sherman Ave
Vineland, NJ 08360
Phone (856) 691-1400

979 N Black Horse Pike
Williamstown, NJ 08094
Phone (856) 629-5151

Interoperability endpoints

  • Direct secure messaging: hadiyah.blakney@advocaredoctors.eclinicaldirectplus.com

Organizations & group practices 4

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": "1641859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651708800000",
    "number": "1841941960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 POWELTON AVE",
            "city": "WOODLYNNE",
            "state": "NJ",
            "postal_code": "081072227",
            "telephone_number": "856-952-2996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 BRIGGS RD STE 106",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080544630",
            "telephone_number": "856-231-9666",
            "fax_number": "856-231-7453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAKNEY",
        "first_name": "HADIYAH",
        "middle_name": "A",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-11",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01244600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Laurel, NJ

Sources for this page

Verify at the official NPI Registry.