Active NPI
Matthew Patrick Tierney
- Research Study Specialist
- Rahway, NJ
National Provider Identifier
1104416601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Research Study Specialist
- Practice address
- 126 E Lincoln Ave
Rahway, NJ 07065-4646 - Phone
- (908) 740-4000
- NPI assigned
- Jan 19, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 049122969 | IL | |
| Research Study Specialist | 1744R1102X | Primary |
Addresses
Primary practice location
126 E Lincoln Ave
Rahway, NJ 07065-4646
Mailing address
126 E Lincoln Ave
Stop Ry34-A3014
Rahway, NJ 07065-4646
Phone (908) 740-4000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1545220 | Other | NATIONAL ASSOCIATION OF BOARDS OF PHARMACY |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 049122969 | IL | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720569600000",
"number": "1104416601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "126 E LINCOLN AVE",
"address_2": "STOP RY34-A3014",
"city": "RAHWAY",
"state": "NJ",
"postal_code": "070654646",
"telephone_number": "908-740-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "126 E LINCOLN AVE",
"city": "RAHWAY",
"state": "NJ",
"postal_code": "070654646",
"telephone_number": "908-740-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIERNEY",
"first_name": "MATTHEW",
"middle_name": "PATRICK",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-01-19",
"last_updated": "2024-07-10",
"certification_date": "2024-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "IL",
"license": "049122969",
"primary": false
},
{
"code": "1744R1102X",
"taxonomy_group": "",
"desc": "Specialist, Research Study",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL ASSOCIATION OF BOARDS OF PHARMACY",
"identifier": "1545220",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Rahway, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.