Active NPI
Mark Tirone, DPM
- Podiatrist
- Collingswood, NJ
National Provider Identifier
1003862970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- MD001684
- Practice address
- 275 Haddon Ave
Collingswood, NJ 08108-1121 - Phone
- (856) 858-9595
- Fax
- (856) 858-9898
- NPI assigned
- May 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | MD001684 | NJ | Primary |
Addresses
Primary practice location
275 Haddon Ave
Collingswood, NJ 08108-1121
Mailing address
275 Haddon Ave
Collingswood, NJ 08108-1121
Phone (856) 858-9595
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0623008 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD001684 | NJ | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Staten Island Podiatry, P.C. | Podiatrist | Past | Accepting new patients |
| Foot and Ankle Specialists of Ny and NJ LLC | Podiatrist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Hamilton, NJ
- NPI 1790727485
-
- Podiatrist
- Staten Island, NY
- NPI 1942340948
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208995200000",
"number": "1003862970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "275 HADDON AVE",
"city": "COLLINGSWOOD",
"state": "NJ",
"postal_code": "081081121",
"telephone_number": "856-858-9595",
"fax_number": "856-858-9898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 HADDON AVE",
"city": "COLLINGSWOOD",
"state": "NJ",
"postal_code": "081081121",
"telephone_number": "856-858-9595",
"fax_number": "856-858-9898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIRONE",
"first_name": "MARK",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-25",
"last_updated": "2008-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NJ",
"license": "MD001684",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0623008",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Collingswood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.