Individual provider Active NPI

Tamara Phoebus, APN

  • Nurse Practitioner
  • Hainesport, NJ
National Provider Identifier
1962965640
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ00915800 Issued in NJ
Practice address
1261 Route 38 Ste a
Hainesport, NJ 08036-2702
Phone
(856) 222-1975
NPI assigned
Apr 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ00915800 NJ Primary

Addresses

Primary practice location

1261 Route 38 Ste a
Hainesport, NJ 08036-2702

Mailing address

1261 Route 38 Ste a
Hainesport, NJ 08036-2702
Phone (856) 222-1975

Other practice location 1

1100 Sheppard Rd
Voorhees, NJ 08043-4797
Phone (856) 424-7390

Other identifiers 1

IdentifierTypeStateIssuer
26NJ00915800OtherNJSTATE LICENSE

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
I20190508002413 NJ Practitioner - Nurse Practitioner 1254673403 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advocare, LLCGroup PAC ID 3678562188, 383 clinicians

Practice addresses (Care Compare)

777 E Route 70 G-101
Advocare Nephrology of South Jersey
Marlton, NJ 08053-2341
Phone (856) 424-7390

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advocare , LLC CurrentSince Sep 1, 2023 Accepting new patients
Advocare, LLC CurrentSince Sep 1, 2023 Accepting new patients
The Center for Kidney Care, P.C. Nephrology CurrentSince Apr 10, 2019 Accepting new patients

Locations

1900 Mount Holly Rd
Ste 4D
Burlington Township, NJ 08016
Phone (856) 222-1975

132 Grove St
Ste A
Haddonfield, NJ 08033
Phone (856) 354-2211

1261 Route 38
#A
Hainesport, NJ 08036
Phone (856) 222-1975

401 Route 73 N
Ste 320
Marlton, NJ 08053
Phone (609) 471-1033

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

Interoperability endpoints

  • Direct secure messaging: tamara.phoebus@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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1554854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1962965640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1261 ROUTE 38 STE A",
            "city": "HAINESPORT",
            "state": "NJ",
            "postal_code": "080362702",
            "telephone_number": "856-222-1975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1261 ROUTE 38 STE A",
            "city": "HAINESPORT",
            "state": "NJ",
            "postal_code": "080362702",
            "telephone_number": "856-222-1975"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Sheppard Rd",
            "address_purpose": "LOCATION",
            "city": "Voorhees",
            "state": "NJ",
            "postal_code": "080434797",
            "country_code": "US",
            "telephone_number": "856-424-7390",
            "fax_number": "844-295-1371",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHOEBUS",
        "first_name": "TAMARA",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-10",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00915800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "26NJ00915800",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hainesport, NJ

Sources for this page

Verify at the official NPI Registry.