NPIMap

Organization Active NPI

Therapro Medical and Surgical Rehabilitation, P.C.

  • Interventional Pain Medicine Physician
  • North Bergen, NJ
National Provider Identifier
1326338781
Registry record updated Apr 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
25MA08433600 Issued in NJ
Legal business name
THERAPRO MEDICAL AND SURGICAL REHABILITATION, P.C.
Practice address
9225 Kennedy Blvd
Suite a
North Bergen, NJ 07047-5361
Phone
(201) 869-2707
NPI assigned
Apr 19, 2011
Last updated
Apr 19, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2011

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

Authorized official

Name
Ravinder Tikoo, M.D.NPI 1780713255
Title
President
Phone
(201) 869-2707

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 25MA08433600 NJ
Orthopaedic Surgery Physician 207X00000X 25MA08433600 NJ
Neurology Physician 2084N0400X 25MA08433600 NJ
Interventional Pain Medicine Physician 208VP0014X 25MA08433600 NJ Primary

Addresses

Primary practice location

9225 Kennedy Blvd
Suite a
North Bergen, NJ 07047-5361

Mailing address

9225 Kennedy Blvd
Suite a
North Bergen, NJ 07047-5361
Phone (201) 869-2707

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1303171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303171200000",
    "number": "1326338781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9225 KENNEDY BLVD",
            "address_2": "SUITE A",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070475361",
            "telephone_number": "201-869-2707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9225 KENNEDY BLVD",
            "address_2": "SUITE A",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070475361",
            "telephone_number": "201-869-2707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPRO MEDICAL AND SURGICAL REHABILITATION, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-19",
        "last_updated": "2011-04-19",
        "status": "A",
        "authorized_official_last_name": "TIKOO",
        "authorized_official_first_name": "RAVINDER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-869-2707",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NJ",
            "license": "25MA08433600",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NJ",
            "license": "25MA08433600",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NJ",
            "license": "25MA08433600",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NJ",
            "license": "25MA08433600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bergen, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2011; 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.