Alycia Radden, APN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

26NJ15189700 Issued in NJ

Practice address

201 Mullica Hill Rd
Glassboro, NJ 08028-1700

Phone

(856) 256-4000

NPI assigned

Nov 4, 2024

Last updated

Nov 4, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ultra Care Clinics LLCGroup PAC ID 4284957069, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Ultra Care Clinics LLC

  • Urgent Care Clinic/Center
  • Deptford, NJ
  • NPI 1285034108
  Medicare reassignment Care Compare group NPD
• Welcare Pediatrics LLC

  • Primary Care Clinic/Center
  • Deptford, NJ
  • NPI 1538569454
  NPD (past)

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

{
    "created_epoch": "1730678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1861215220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 MULLICA HILL RD",
            "city": "GLASSBORO",
            "state": "NJ",
            "postal_code": "080281700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 MULLICA HILL RD",
            "city": "GLASSBORO",
            "state": "NJ",
            "postal_code": "080281700",
            "telephone_number": "856-256-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADDEN",
        "first_name": "ALYCIA",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-04",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ15189700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Pruett
• Diana Kathleen Puglia, RN, BSN, IBCLC
• Tyshawn Purnell, LCSW
• Quality Phlebotomy LLC
• Cristina Adiene Quintana
• Christian Rafanello
• Loheetha Ragupathi
• Rainbow Care at Home, Inc.
• Ralph S Bullock and Son
• Elizabeth Ann Rambow, LPC

• Family Nurse Practitioner in Glassboro, NJ
• Providers in Glassboro, NJ by specialty
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; 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.

Verify at the official NPI Registry.