Active NPI
Susan Tamagni, PA-C
- Medical Physician Assistant
- Woodbury, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 25MP00032600
- Practice address
- 17 W Red Bank Ave Ste 201
Woodbury, NJ 08096-1630 - Phone
- (856) 536-1515
- NPI assigned
- Jun 9, 2006
- Last updated
- Feb 26, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | MA-002428-L | PA | |
| Medical Physician Assistant | 363AM0700X | 25MP00032600 | NJ | Primary |
Addresses
Primary practice location
17 W Red Bank Ave Ste 201
Woodbury, NJ 08096-1630
Mailing address
1 Federal St # 200
Camden, NJ 08103-1088
Phone (856) 356-4924
Other practice location 1
175 Madison Ave
Mount Holly, NJ 08060-2038
Phone (609) 261-7046 ext. 47046
Other practice location 2
159 S Broad St
Woodbury, NJ 08096-2410
Phone (844) 542-2273
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CD4829 | Other | PA | TPI RAILROAD MEDICARE GROUP |
| 597586 | Other | PA | TPI MEDICARE GROUP |
| 100727800 | Other | PA | TPI MEDICAID GROUP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Hahnemann University College of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1210 Brace Rd
Cherry Hill, NJ 08034-3213
Phone (856) 536-1515
17 W Red Bank Ave
Suite 201
Woodbury, NJ 08096-1630
Phone (856) 536-1515
901 Route 168
Suite 210
Turnersville, NJ 08012-3203
Phone (856) 536-1515
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aria Health Physician Services | Current | Accepting new patients | |
| Aria Health Physician Services | Current | Accepting new patients | |
| Temple Physicians Inc | Past | Accepting new patients | |
| South Jersey Emergency Physicians, PA | Past | Accepting new patients | |
| Aria Health Physician Services | Past | Accepting new patients | |
| Temple Physicians Inc | Past | Accepting new patients | |
| Temple Physician Inc. | Past | Accepting new patients | |
| Temple Physicians Inc | Past | Accepting new patients | |
| Family Physicians at Burlington | Past | Accepting new patients | |
| The Dr Martin Jay Kessler Medical Services LLC | Past | Accepting new patients | |
| Temple Physicians Inc | Past | Accepting new patients | |
| Temple Physicians Inc | Past | Accepting new patients | |
| Kennedy Medical Group Practice, P.C. | Past | Accepting new patients |
Locations
240 Middletown Blvd
Ste 101C
Langhorne, PA 19047
Phone (215) 550-9999
1101 Market St
Fl 19
Philadelphia, PA 19107
Phone (215) 481-6836
4900 Frankford Ave
Philadelphia, PA 19124
Phone (215) 612-2610
5000 Frankford Ave
Ste 1B
Philadelphia, PA 19124
Phone (215) 583-2355
Interoperability endpoints
- stamagni108919@direct.cooperhealth.edu
Organizations & group practices 15
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.
-
- Specialist
- Camden, NJ
- NPI 1215551437
-
dba Richboro Medical
- Family Medicine Physician
- Richboro, PA
- NPI 1750949806
-
dba Geoffrey W. Temple Family Medical Associates
- Family Medicine Physician
- Philadelphia, PA
- NPI 1053181297
-
dba Aria Neshaminy/Richboro Medical Practice
- Family Medicine Physician
- Bensalem, PA
- NPI 1437479425
-
- Family Medicine Physician
- Burlington, NJ
- NPI 1356484687
-
dba Jefferson Health
- Family Medicine Physician
- Voorhees, NJ
- NPI 1952726796
-
- Emergency Medicine Physician
- Mount Holly, NJ
- NPI 1023063880
-
dba Delaware Valley Primary Car and Occupational Medicine
- Family Medicine Physician
- Vineland, NJ
- NPI 1548310774
-
dba Aria Health Physician Services - Bucks Surgery
- Surgery Physician
- Langhorne, PA
- NPI 1114981123
-
- Internal Medicine Physician
- Feasterville Trevose, PA
- NPI 1174497366
-
- Urgent Care Clinic/Center
- Fort Washington, PA
- NPI 1003167115
-
- Family Medicine Physician
- Philadelphia, PA
- NPI 1164841946
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Cooper University Hospital
- Land Ambulance
- Camden, NJ
- NPI 1174976724
Hospital
-
- General Acute Care Hospital
- Camden, NJ
- NPI 1568442309
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614297600000",
"number": "1992746242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 FEDERAL ST # 200",
"city": "CAMDEN",
"state": "NJ",
"postal_code": "081031088",
"telephone_number": "856-356-4924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 W RED BANK AVE STE 201",
"city": "WOODBURY",
"state": "NJ",
"postal_code": "080961630",
"telephone_number": "856-536-1515"
}
],
"practiceLocations": [
{
"address_1": "175 Madison Ave",
"address_purpose": "LOCATION",
"city": "Mount Holly",
"state": "NJ",
"postal_code": "080602038",
"country_code": "US",
"telephone_number": "609-261-7046 x47046",
"fax_number": "609-914-6067",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "159 S Broad St",
"address_purpose": "LOCATION",
"city": "Woodbury",
"state": "NJ",
"postal_code": "080962410",
"country_code": "US",
"telephone_number": "844-542-2273",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TAMAGNI",
"first_name": "SUSAN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-09",
"last_updated": "2021-02-26",
"certification_date": "2021-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PA",
"license": "MA-002428-L",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NJ",
"license": "25MP00032600",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TPI RAILROAD MEDICARE GROUP",
"identifier": "CD4829",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TPI MEDICARE GROUP",
"identifier": "597586",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TPI MEDICAID GROUP",
"identifier": "100727800",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Woodbury, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2021; 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.