Robert Parcon Ticzon

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

033797 Issued in NY

Practice address

601 Plymouth Rd
Hillside, NJ 07205-2527

Phone

(908) 425-1108

NPI assigned

Jul 25, 2012

Last updated

Jul 25, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H3359

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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  • NPI 1194314062
  Medicare reassignment
• Spine Sports & Interventional Pain Medicine PC

  • Physical Medicine & Rehabilitation Physician
  • Brooklyn, NY
  • NPI 1043626435
  Medicare reassignment

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

{
    "created_epoch": "1343174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343174400000",
    "number": "1184970329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 PLYMOUTH RD",
            "city": "HILLSIDE",
            "state": "NJ",
            "postal_code": "072052527",
            "telephone_number": "908-425-1108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 PLYMOUTH RD",
            "city": "HILLSIDE",
            "state": "NJ",
            "postal_code": "072052527",
            "telephone_number": "908-425-1108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TICZON",
        "first_name": "ROBERT",
        "middle_name": "PARCON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-25",
        "last_updated": "2012-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "033797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Test Rite Opticians
• Alexandra Thall, BCBA
• The Shepherd House Inc
• The Wellspring Health Ministry
• Michelle Sadifa Thomas, NP
• Phyllis Tobin, PH.D.
• Township of Hillside
• Township of Hillside Fire Dept
• Upscale Medical Transportation
• Angela Vidal-Burke, MD

• Physical Therapist in Hillside, NJ
• Providers in Hillside, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.