Active NPI
Michele P. Tuck, M.D.
- Pediatric Adolescent Medicine Physician
- East Brunswick, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- MA069507
- Practice address
- 503 Cranbury Rd
East Brunswick, NJ 08816-3612 - Phone
- (732) 390-8400
- NPI assigned
- Mar 17, 2006
- Last updated
- Mar 15, 2017
- 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 |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | MA069507 | NJ | Primary |
Addresses
Primary practice location
503 Cranbury Rd
East Brunswick, NJ 08816-3612
Mailing address
503 Cranbury Rd
East Brunswick, NJ 08816-3612
Phone (732) 390-8400
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P2494529 | Other | NJ | OXFORD ID |
| 1K9407 | Other | NJ | HEALTHNET ID |
| 8222070 | Other | NJ | QUALCARE/GHI NY |
| 2104747 | Other | NJ | UNITED ID |
| MA069507 | Other | NJ | HIP/PHCS NY |
| 222694202 | Other | NJ | TAX ID |
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA069507 | NJ | MD | Pediatric Adolescent Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advocare, LLC | Current | Accepting new patients | |
| Advocare , LLC | Current | Accepting new patients | |
| Advocare , LLC | Past | Accepting new patients |
Locations
169 Mine Brook Rd
#P
Bernardsville, NJ 07924
Phone (908) 766-0034
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
Interoperability endpoints
- michele.tuck@advocaredoctors.eclinicaldirectplus.com
Organizations & group practices 3
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.
-
- Pediatrics Physician
- Marlton, NJ
- NPI 1770538696
-
dba Advocare Berlin Medical Associates (DME)
- Internal Medicine Physician
- Manahawkin, NJ
- NPI 1912762162
-
dba Advocare Heritage Family Medicine
- Family Medicine Physician
- Moorestown, NJ
- NPI 1053589515
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489536000000",
"number": "1871562173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "503 CRANBURY RD",
"city": "EAST BRUNSWICK",
"state": "NJ",
"postal_code": "088163612",
"telephone_number": "732-390-8400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "503 CRANBURY RD",
"city": "EAST BRUNSWICK",
"state": "NJ",
"postal_code": "088163612",
"telephone_number": "732-390-8400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUCK",
"first_name": "MICHELE",
"middle_name": "P.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-17",
"last_updated": "2017-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "NJ",
"license": "MA069507",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD ID",
"identifier": "P2494529",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET ID",
"identifier": "1K9407",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "QUALCARE/GHI NY",
"identifier": "8222070",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED ID",
"identifier": "2104747",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP/PHCS NY",
"identifier": "MA069507",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "222694202",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in East Brunswick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2017; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.