Individual provider Active NPI

Brock Thomas Talko, PA-C

  • Physician Assistant
  • Manasquan, NJ
National Provider Identifier
1437834322
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00870500 Issued in NJ
Practice address
2315 Route 34
Manasquan, NJ 08736-1444
Phone
(329) 740-4047
Fax
(732) 449-4271
NPI assigned
Jun 19, 2023
Last updated
Sep 3, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 25MP00870500 NJ Primary

Addresses

Primary practice location

2315 Route 34
Manasquan, NJ 08736-1444

Mailing address

2315 Route 34
Manasquan, NJ 08736-1444
Phone (329) 740-4047

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240917002171 NJ Practitioner - Physician Assistant 5698129005 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthonj LLCGroup PAC ID 6800225178, 302 clinicians

Practice addresses (Care Compare)

2035 Lincoln Hwy
Edison, NJ 08817-3351
Phone (732) 974-0404

2315 Route 34
Manasquan, NJ 08736-1444
Phone (732) 974-0404

365 Broad St
Red Bank, NJ 07701-2150
Phone (732) 933-4300

457 Jack Martin Blvd
Suite 1
Brick, NJ 08724-7776
Phone (732) 840-7500

765 Lacey Rd
Forked River, NJ 08731-1304
Phone (732) 840-7500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.62 of 100Reported as group
Quality
76.03
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orthonj LLC CurrentSince Jul 22, 2024 Accepting new patients
Orthonj LLC CurrentSince Jul 22, 2024 Accepting new patients

Locations

2035 Lincoln Hwy
Edison, NJ 08817
Phone (732) 974-0404

2315 Route 34
Manasquan, NJ 08736
Phone (732) 974-0404

Organizations & group practices 2

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1687132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1437834322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 ROUTE 34",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087361444",
            "telephone_number": "329-740-4047",
            "fax_number": "732-449-4271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 ROUTE 34",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087361444",
            "telephone_number": "329-740-4047",
            "fax_number": "732-449-4271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALKO",
        "first_name": "BROCK",
        "middle_name": "THOMAS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-19",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00870500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manasquan, NJ

Sources for this page

Verify at the official NPI Registry.