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DR. HEATHER ANNE TYRELL SOUDERS D.O.
NPI 1952530560
Pediatrics - Developmental - Behavioral Pediatrics in Hamilton, NJ

Active since July 06, 2009PECOS Enrolled
3575 QUAKERBRIDGE RD, HAMILTON, NJ 08619(888) 244-5373 Get Directions Write a Review

NPPES record last updated: January 19, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Heather Anne Tyrell Souders D.o. NPPES

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

DR. HEATHER ANNE TYRELL SOUDERS D.O. (NPI 1952530560) is an individual developmental - behavioral pediatrics provider in Hamilton, New Jersey, licensed in New Jersey (25MB09954500) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952530560
Entity TypeIndividualFemale
Primary Taxonomy2080P0006X
Provider Legal NameDR. HEATHER ANNE TYRELL SOUDERSCredential: D.O.
Location Address3575 QUAKERBRIDGE RDHamilton, NJ 08619-1271
Mailing Address150 New Providence RdMountainside, NJ 07092-2590 · (888) 244-5373
Phone(888) 244-5373
Sole ProprietorNo
Enumeration DateJuly 6, 2009
Last NPPES UpdateJanuary 19, 2022
NPPES CertifiedJanuary 19, 2022
✔ NPI 1952530560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Developmental - Behavioral PediatricsAllopathic & Osteopathic Physicians
Taxonomy Code2080P0006X
Licenses✔ Licensed in NJ · 25MB09954500✔ Licensed in OH · 010917
Definition
A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.
3575 QUAKERBRIDGE RD, Hamilton, NJ 08619
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Other Names 1

Former Name (1)Dr. Heather Anne Tyrell

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Heather Anne Tyrell Souders D.o. 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 Heather Souders reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Children's Specialized Hospital
20 mi
Children
200 SOMERSET ST
New Brunswick, NJ 08901
  • Reassigned Medicare billing, New Jersey enrollment
  • 127 clinicians in this Medicare group
NPI 1396886297 (732) 258-7000

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

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. LINDSAY MARIE BUBLEWICZ OTR/L
Rehabilitation Hospital (Children)
3575 QUAKERBRIDGE RD
TRENTON, NJ 08619
Mercer County (609) 631-2800
DANIELLE SARA BLUM M.A. CCC-SLP
Speech-Language Pathologist
3575 QUAKERBRIDGE RD
HAMILTON, NJ 08619
Mercer County (609) 631-2800
MS. LAURIE G LESSER OTR
Occupational Therapist (Pediatrics)
3575 QUAKERBRIDGE RD
HAMILTON, NJ 08619
Mercer County (609) 631-2800
MISS JILLIAN FRANCES QUEENEY CRNP
Nurse Practitioner (Pediatrics)
3575 QUAKERBRIDGE RD
HAMILTON, NJ 08619
Mercer County (609) 631-2800
MRS. CARLA G. HAGAN OTR
Occupational Therapist (Pediatrics)
3575 QUAKERBRIDGE RD
HAMILTON, NJ 08619
Mercer County (609) 631-2800
BARBARA LYNCH JANNEN PT, DPT
Physical Therapist
3575 QUAKERBRIDGE RD
HAMILTON, NJ 08619
Mercer County (609) 631-2800
DR. NOEMI SPINAZZI MD
Pediatrics
3575 QUAKERBRIDGE RD
HAMILTON, NJ 08619
Mercer County (609) 631-2811
MRS. LEIGH ANN BRUDER OTR
Occupational Therapist (Pediatrics)
3575 QUAKERBRIDGE RD
HAMILTON, NJ 08619
Mercer County (609) 631-2862

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 Heather Souders's NPI number?

The NPI number for Heather Souders is 1952530560. It was assigned to this individual provider in the NPPES registry on July 6, 2009. The provider is also known as Dr. Heather Anne Tyrell.

Where is Heather Souders located?

Heather Souders practices at 3575 Quakerbridge Rd, Hamilton, NJ 08619. The listed phone number is (888) 244-5373.

What is Heather Souders's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Developmental - Behavioral Pediatrics, with taxonomy code 2080P0006X.

Is Heather Souders enrolled in Medicare?

Yes. Heather Souders is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Heather Souders's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heather Souders reassigns Medicare benefits to Children's Specialized Hospital (New Brunswick, NJ). 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 Heather Souders'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 Heather Souders was last updated on January 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.