Active NPI
John Tyrrell, DO
- Emergency Medicine Physician
- Mountain Lakes, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 25MB04141800
- Practice address
- 333 US Highway 46 Ste 106
Mountain Lakes, NJ 07046-1741 - Phone
- (973) 939-6220
- Fax
- (973) 263-0281
- NPI assigned
- Jul 19, 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 25MB04141800 | NJ | Primary |
Addresses
Primary practice location
333 US Highway 46 Ste 106
Mountain Lakes, NJ 07046-1741
Mailing address
465 South St Ste 103
Morristown, NJ 07960-6442
Phone (973) 695-4726
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hackettstown Emergency Medical Associates LLC | Emergency Medicine | Current | Accepting new patients |
| Atlantic Advanced Urgent Care | Emergency Medicine | Current | Accepting new patients |
| Union Emergency Medical Associates LLC | Emergency Medicine | Current | Accepting new patients |
| Atlantic Urgent Care, LLC | Current | Accepting new patients | |
| William R. Collini, M.D., P.a. | Past | Accepting new patients | |
| Practice Associates Medical Group | Emergency Medicine | Past | Accepting new patients |
| Newton Emergency Medical Associates LLC | Emergency Medicine | Past | Accepting new patients |
| Emergency Medical Associates of New Jersey PA | Emergency Medicine | Past | Accepting new patients |
| Emergency Medical Associates of New Jersey PA | Emergency Medicine | Past | Accepting new patients |
Locations
140 Central Ave
Clark, NJ 07066
Phone (732) 499-0606
651 Willow Grove St
Hackettstown, NJ 07840
Phone (908) 441-1161
333 US Highway 46
Ste 106
Mountain Lks, NJ 07046
Phone (973) 829-7965
181 High St
Newton, NJ 07860
Phone (973) 383-9898
376 Route 15
Ste 101
Sparta, NJ 07871
Phone (973) 383-9898
1000 Galloping Hill Rd
Union, NJ 07083
Phone (908) 522-6280
Organizations & group practices 9
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.
-
- Emergency Medicine Physician
- Morristown, NJ
- NPI 1104309277
-
- General Practice Physician
- Newton, NJ
- NPI 1023358959
-
- Emergency Medicine Physician
- Hackettstown, NJ
- NPI 1558768473
-
- Emergency Medicine Physician
- Union, NJ
- NPI 1689847352
-
- Emergency Medicine Physician
- Morristown, NJ
- NPI 1477591360
-
- Emergency Medicine Physician
- Long Branch, NJ
- NPI 1841456068
-
- Emergency Medicine Physician
- Newton, NJ
- NPI 1306118344
-
- Internal Medicine Physician
- Morristown, NJ
- NPI 1427016385
Emergency Medicine
-
- Specialist
- Newton, NJ
- NPI 1144426602
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715817600000",
"number": "1164441978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "465 SOUTH ST STE 103",
"city": "MORRISTOWN",
"state": "NJ",
"postal_code": "079606442",
"telephone_number": "973-695-4726",
"fax_number": "973-290-7495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 US HIGHWAY 46 STE 106",
"city": "MOUNTAIN LAKES",
"state": "NJ",
"postal_code": "070461741",
"telephone_number": "973-939-6220",
"fax_number": "973-263-0281"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TYRRELL",
"first_name": "JOHN",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2024-05-16",
"certification_date": "2024-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NJ",
"license": "25MB04141800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mountain Lakes, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.