Taylor Hadley, PA
Individual provider Active NPI Physician Assistant · Vineland, NJ
NPI 1972016897 · NPPES record last updated Nov 14, 2017
Key facts
- NPI
- 1972016897
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 25MP00453700 (NJ)
- Practice address
- 3403 S Delsea Dr
Vineland, NJ 08360-7449 - Phone
- (856) 293-6974
- NPI assigned
- Nov 14, 2017
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 6
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cape Regional Urgent Care LLC
Cape Emergency Physicians PA
Practice addresses (Care Compare)
11 Court House S Dennis Rd
Suite 3
Cape May Court House, NJ 08210-2150
Phone (609) 465-6364
2 Stone Harbor Blvd
Cape May Court House, NJ 08210-2138
Phone (609) 463-2000
Hospital & facility affiliations
- Cape Regional Medical Center Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.31 of 100
- Quality
- 96.46
- Improvement activities
- 40
- Cost
- 82.46
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171228001023 | NJ | Practitioner - Physician Assistant | 3971861766 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Friendly Urgent Care, LLC | Current |
Accepting new patients | |
| Cape Regional Urgent Care LLC | Current |
Accepting new patients |
Locations
11 Court House South Dennis Rd
Ste 3
Cape May Court House, NJ 08210
Phone (609) 465-6364
1091 River Ave
Lakewood, NJ 08701
Phone (732) 385-6820
1601 Tilton Rd
Northfield, NJ 08225
Phone (609) 407-1600
1428 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 591-1350
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 25MP00453700 | NJ | Yes |
Addresses
Primary practice location
3403 S Delsea Dr
Vineland, NJ 08360-7449
Mailing address
333 N Shore Rd
Marmora, NJ 08223-1601
Other providers in Vineland, NJ
- Chana Grossman
- Dan Guo
- Kanika Gupta
- Vipin Kumar Gupta
- Drena Gwin
- Brandon Hadtke
- Carolyn Edith Hagel
- Ali Haider
- Antoinette June Haight
- Stefanie A Haines
All providers in Vineland, NJ · Physician Assistant in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 14, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.