Healthcare Provider Details

I. General information

NPI: 1699661801
Provider Name (Legal Business Name): TIANCI CAI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2025
Last Update Date: 08/20/2025
Certification Date: 08/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

351 NEW ALBANY RD
MOORESTOWN NJ
08057-1117
US

IV. Provider business mailing address

351 NEW ALBANY RD
MOORESTOWN NJ
08057-1117
US

V. Phone/Fax

Practice location:
  • Phone: 856-779-2300
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number26NJ15393400
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN787868
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: