Active NPI
Tamara Phoebus, APN
- Nurse Practitioner
- Hainesport, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 26NJ00915800
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 26NJ00915800 | Other | NJ | STATE 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advocare , LLC | Current | Accepting new patients | |
| Advocare, LLC | Current | Accepting new patients | |
| The Center for Kidney Care, P.C. | Nephrology | Current | 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
- 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.
-
- Internal Medicine Physician
- Rochelle Park, NJ
- NPI 1336625425
NJ
-
- Internal Medicine Physician
- Manahawkin, NJ
- NPI 1912762162
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; 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.