Individual provider Active NPI

Mark Tirone

  • Occupational Therapist
  • Jackson, NJ
National Provider Identifier
1437747896
Registry record updated Jan 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR00966600 Issued in NJ
Practice address
3 Cottonwood Dr
Jackson, NJ 08527-4939
Phone
(732) 614-0068
NPI assigned
Jan 1, 2021
Last updated
Jan 1, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 46TR00966600 NJ Primary

Addresses

Primary practice location

3 Cottonwood Dr
Jackson, NJ 08527-4939

Mailing address

3 Cottonwood Dr
Jackson, NJ 08527-4939
Phone (732) 614-0068

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210113000023 NJ Practitioner - Occupational Therapist in Private Practice 2163835166 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paragon Sport Spine and Wellness LLCGroup PAC ID 1153658299, 11 clinicians

Practice addresses (Care Compare)

17 Main St
Suite 403
Robbinsville, NJ 08691-1436
Phone (609) 686-2050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Paragon Sport Spine & Wellness LLC CurrentSince Feb 18, 2021 Accepting new patients
Paragon Health Chiropractic CurrentSince Feb 18, 2021 Accepting new patients
Link Home Services of NJ LLC CurrentSince Dec 15, 2020 Accepting new patients

Locations

180 Sylvan Ave
Ste 401
Englewood Cliffs, NJ 07632
Phone (347) 841-8943

516 Sylvan Ave
Englewood Cliffs, NJ 07632

17 Main St
Ste 403
Robbinsville, NJ 08691
Phone (609) 686-2050

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1609459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609459200000",
    "number": "1437747896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 COTTONWOOD DR",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085274939",
            "telephone_number": "732-614-0068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 COTTONWOOD DR",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085274939",
            "telephone_number": "732-614-0068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIRONE",
        "first_name": "MARK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-01",
        "last_updated": "2021-01-01",
        "certification_date": "2021-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00966600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.