Organization Active NPI

Dr. Arsenio M. Tio Medical Practice

  • General Practice Physician
  • New York, NY
National Provider Identifier
1083475032
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
DR. ARSENIO M. TIO MEDICAL PRACTICE
Practice address
231 Sherman Ave Apt 1F
New York, NY 10034-2511
Phone
(212) 567-4770
Fax
(718) 732-2580
NPI assigned
Jan 17, 2024
Last updated
Jan 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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

Authorized official

Name
Dr. Eduardo Arsenio Tio, MDNPI 1700349016
Title
Provider
Phone
(732) 977-4439

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X
General Practice Physician 208D00000X Primary

Addresses

Primary practice location

231 Sherman Ave Apt 1F
New York, NY 10034-2511

Mailing address

231 Sherman Ave Apt 1F
New York, NY 10034-2511
Phone (212) 567-4770

Other identifiers 2

IdentifierTypeStateIssuer
1538232962MedicaidNY
1700349016MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1705449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705449600000",
    "number": "1083475032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 SHERMAN AVE APT 1F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100342511",
            "telephone_number": "212-567-4770",
            "fax_number": "718-732-2580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 SHERMAN AVE APT 1F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100342511",
            "telephone_number": "212-567-4770",
            "fax_number": "718-732-2580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ARSENIO M. TIO MEDICAL PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-17",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A",
        "authorized_official_last_name": "TIO",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_middle_name": "ARSENIO",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "732-977-4439",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1538232962",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1700349016",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.