Organization Active NPI

Drew E. Tuckman, M.D., P.a.

  • Plastic Surgery Physician
  • Paramus, NJ
National Provider Identifier
1467794693
Registry record updated Mar 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
25MA03694700 Issued in NJ
Legal business name
DREW E. TUCKMAN, M.D., P.A.
Practice address
30 W Century Rd
Suite 220
Paramus, NJ 07652-1433
Phone
(201) 986-1010
Fax
(201) 986-1970
NPI assigned
Mar 26, 2013
Last updated
Mar 26, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2013

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

Authorized official

Name
Dr. Drew Tuckman, M.D.NPI 1063459105
Title
President
Phone
(201) 986-1010

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 25MA03694700 NJ Primary

Addresses

Primary practice location

30 W Century Rd
Suite 220
Paramus, NJ 07652-1433

Mailing address

30 W Century Rd
Suite 220
Paramus, NJ 07652-1433
Phone (201) 986-1010

National Provider Directory

National Provider Directory

Locations

30 W Century Rd
Ste 220
Paramus, NJ 07652
Phone (201) 483-8966

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1364256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364256000000",
    "number": "1467794693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 W CENTURY RD",
            "address_2": "SUITE 220",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076521433",
            "telephone_number": "201-986-1010",
            "fax_number": "201-986-1970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 W CENTURY RD",
            "address_2": "SUITE 220",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076521433",
            "telephone_number": "201-986-1010",
            "fax_number": "201-986-1970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DREW E. TUCKMAN, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-26",
        "last_updated": "2013-03-26",
        "status": "A",
        "authorized_official_last_name": "TUCKMAN",
        "authorized_official_first_name": "DREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-986-1010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NJ",
            "license": "25MA03694700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; 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.