Therapro-Corf, LLC

Primary specialty

Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X

Legal business name

THERAPRO-CORF, LLC

Practice address

9225 Kennedy Blvd
North Bergen, NJ 07047-5361

Phone

(201) 869-2701

Fax

(201) 869-2717

NPI assigned

Jan 28, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Ravi Tikoo

Title

Ceo

Phone

(917) 536-8940

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ3 enrollments

Enrollment records 3

Comprehensive outpatient rehabilitation facility certification: CCN 314507

Legal name

THERAPRO-CORF

Certification status

Active

Provider type (POS)

Comprehensive outpatient rehabilitation facility

Participating since

Jun 3, 2002

Last certification

Jan 4, 2024

Ownership / control type

Proprietary

Most recent change of ownership

Jan 22, 2008

Facility address

9225 Kennedy Boulevard
North Bergen, NJ 07047

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Therapro-Corf, LLC

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Jersey City, NJ
  • NPI 1740467273

  4587748017

  Same PAC ID

Tax ID family

Therapro-Corf LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Therapro-Corf, LLC

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Jersey City, NJ
  • NPI 1740467273
  NPD tax ID

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Frederick Brandt

  • Rheumatology Physician
  • Jersey City, NJ
  • NPI 1528008737
  Medicare reassignment Care Compare group NPD
• Marcelo Marin, DNP

  • Primary Care Nurse Practitioner
  • Englewood, NJ
  • NPI 1730582800
  Medicare reassignment Care Compare group NPD
• Ravinder Tikoo, M.D.

  • Neurology Physician
  • North Bergen, NJ
  • NPI 1780713255
  Medicare reassignment Care Compare group
• Jessica L Cofone, LSW

  • Social Worker
  • North Bergen, NJ
  • NPI 1295018505
  NPD (past)
• Mylen Estanislao

  • Physical Therapist
  • North Bergen, NJ
  • NPI 1477730331
  NPD (past)
• Andriy Ilashuk, APN

  • Adult Health Nurse Practitioner
  • North Bergen, NJ
  • NPI 1942656285
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365033600000",
    "number": "1043497571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9225 KENNEDY BLVD",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070475361",
            "telephone_number": "201-869-2701",
            "fax_number": "201-869-2717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9225 KENNEDY BLVD",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070475361",
            "telephone_number": "201-869-2701",
            "fax_number": "201-869-2717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPRO-CORF, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-28",
        "last_updated": "2013-04-04",
        "status": "A",
        "authorized_official_last_name": "TIKOO",
        "authorized_official_first_name": "RAVI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "917-536-8940",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madeline Tchack
• Team Wellness & Massage Center
• Harold George Tepler, M.D.
• The Pod Spa
• Therapro Medical and Surgical Rehabilitation, P.C.
• Therapy by Design
• Ravinder Tikoo, M.D.
• Tilden Todd, LMT
• Together We Rise LLC
• Ahmed Tohami

• Comprehensive Outpatient Rehabilitation Facility (CORF) in North Bergen, NJ
• Providers in North Bergen, NJ by specialty
• Comprehensive Outpatient Rehabilitation Facility (CORF) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.