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ALYSSA MARIE TATE MD
NPI 1356920383
Internal Medicine - Addiction Medicine in Camden, NJ

Active since April 06, 2021PECOS Enrolled
808 MARKET ST STE 2, CAMDEN, NJ 08102(856) 342-3040 Get Directions Write a Review

NPPES record last updated: August 31, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 31, 2026, Nov 4, 2023, Apr 6, 2021 (3 updates tracked since 2021).

About Alyssa Marie Tate Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALYSSA MARIE TATE MD (NPI 1356920383) is an individual addiction medicine provider in Camden, New Jersey, licensed in New Jersey (25MA13248900) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1356920383
Entity TypeIndividualFemale
Primary Taxonomy207RA0401X
Provider Legal NameALYSSA MARIE TATECredential: MD
Location Address808 MARKET ST STE 2Camden, NJ 08102-1159
Mailing Address1 Federal St Ste 200Camden, NJ 08103-1088 · (848) 288-6935
Phone(856) 342-3040
Sole ProprietorNo
Enumeration DateApril 6, 2021
Last NPPES UpdateAugust 31, 20263 updates tracked since enumeration
NPPES CertifiedAugust 31, 2026
✔ NPI 1356920383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RA0401X
License✔ Licensed in NJ · 25MA13248900
Definition
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License A182647 (CA)
808 MARKET ST STE 2, Camden, NJ 08102
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1200 Hillmont AveVentura, CA 93003-1647 · Phone (805) 652-6729
Location 2300 Hillmont AveVentura, CA 93003-1651 · Phone (805) 652-6000
Location 3800 Cooper St Fl 4Camden, NJ 08102-1155 · Phone (856) 342-3040

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alyssa Marie Tate Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Alyssa Tate reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

County Of Ventura
2,418 mi
Community/Behavioral Health
1900 E LOS ANGELES AVE STE 100
Simi Valley, CA 93065
  • Reassigned Medicare billing, California enrollment
  • 710 clinicians in this Medicare group
NPI 1013139658 (805) 577-1724

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08102 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alyssa Tate's NPI number?

The NPI number for Alyssa Tate is 1356920383. It was assigned to this individual provider in the NPPES registry on April 6, 2021.

Where is Alyssa Tate located?

Alyssa Tate practices at 808 Market St Ste 2, Camden, NJ 08102. The listed phone number is (856) 342-3040.

What is Alyssa Tate's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Addiction Medicine, with taxonomy code 207RA0401X.

Is Alyssa Tate enrolled in Medicare?

Yes. Alyssa Tate is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Alyssa Tate's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alyssa Tate reassigns Medicare benefits to County Of Ventura (Simi Valley, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alyssa Tate's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Alyssa Tate was last updated on August 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.