Individual provider Active NPI

Taylor Hadley, PA

  • Physician Assistant
  • Vineland, NJ
National Provider Identifier
1972016897
Registry record updated Nov 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00453700 Issued in NJ
Practice address
3403 S Delsea Dr
Vineland, NJ 08360-7449
Phone
(856) 293-6974
NPI assigned
Nov 14, 2017
Last updated
Nov 14, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 25MP00453700 NJ Primary

Addresses

Primary practice location

3403 S Delsea Dr
Vineland, NJ 08360-7449

Mailing address

333 N Shore Rd
Marmora, NJ 08223-1601

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
I20171228001023 NJ Practitioner - Physician Assistant 3971861766 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cape Regional Urgent Care LLCGroup PAC ID 5395861728, 36 clinicians
Cape Emergency Physicians PAGroup PAC ID 3678500998, 27 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
95.31 of 100Reported as group
Quality
96.46
Improvement activities
40
Cost
82.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Friendly Urgent Care, LLC CurrentSince Jan 1, 2023 Accepting new patients
Cape Regional Urgent Care LLC CurrentSince May 4, 2019 Accepting new patients
Cape Regional Urgent Care LLC CurrentSince May 4, 2019 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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1510617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510617600000",
    "number": "1972016897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N SHORE RD",
            "city": "MARMORA",
            "state": "NJ",
            "postal_code": "082231601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3403 S DELSEA DR",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083607449",
            "telephone_number": "856-293-6974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADLEY",
        "first_name": "TAYLOR",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-11-14",
        "last_updated": "2017-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00453700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vineland, NJ

Sources for this page

Verify at the official NPI Registry.