Individual provider Active NPI

Tina Marie Occhiuto, APRN, BC

  • Nurse Practitioner
  • Morristown, NJ
National Provider Identifier
1487773164
Registry record updated May 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ00128800 Issued in NJ
Practice address
182 South St Ste 1
Morristown, NJ 07960-5350
Phone
(973) 267-0300
Fax
(973) 984-2670
NPI assigned
Mar 27, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 26NJ00128800 NJ
Nurse Practitioner 363L00000X 26NJ00128800 NJ Primary

Addresses

Primary practice location

182 South St Ste 1
Morristown, NJ 07960-5350

Mailing address

182 South St Ste 1
Morristown, NJ 07960-5350
Phone (973) 936-1802

Other practice location 1

526 Bloomfield Ave Ste 202
Caldwell, NJ 07006-5525
Phone (973) 625-0600 ext. 213

Other practice location 2

655 Kearny Ave Ste 109
Kearny, NJ 07032-2942
Phone (973) 625-0600 ext. 213

Other practice location 3

7 Oak Ridge Rd Apt 3
Newfoundland, NJ 07435-1439
Phone (973) 625-0600 ext. 213

Other practice location 4

1116 Route 46
Parsippany, NJ 07054-2100
Phone (973) 625-0600 ext. 213

Other practice location 5

925 Clifton Ave Fl 2
Clifton, NJ 07013-2724
Phone (973) 625-0600 ext. 213

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
I20070509000773 NJ Practitioner - Nurse Practitioner 1355447236 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Affiliated Dermatologists and Dermatologic Surgeons, P.a.Group PAC ID 2961305065, 14 clinicians
Epiphany Dermatology of New Jersey LLCGroup PAC ID 7214406305, 11 clinicians

Practice addresses (Care Compare)

182 S St
Suite 1
Morristown, NJ 07960-5350
Phone 9732670301117

Merit-based Incentive Payment System (MIPS)

Final score
92.38 of 100Reported as group
Quality
100
Improvement activities
40
Cost
74.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ00128800NJMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Affiliated Dermatologists and Dermatologic Surgeons, P.a. CurrentSince May 15, 2023 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC PastSince Aug 28, 2022 Accepting new patients

Locations

182 South St
Ste 1
Morristown, NJ 07960
Phone (973) 267-0300

Interoperability endpoints

  • Direct secure messaging: tina.occhiuto@affiliateddermatologists.chartmakerdirect.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1487773164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "182 SOUTH ST STE 1",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079605350",
            "telephone_number": "973-936-1802",
            "fax_number": "973-695-1480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182 SOUTH ST STE 1",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079605350",
            "telephone_number": "973-267-0300",
            "fax_number": "973-984-2670"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "526 Bloomfield Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Caldwell",
            "state": "NJ",
            "postal_code": "070065525",
            "country_code": "US",
            "telephone_number": "973-625-0600 x213",
            "fax_number": "973-625-3434",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "655 Kearny Ave Ste 109",
            "address_purpose": "LOCATION",
            "city": "Kearny",
            "state": "NJ",
            "postal_code": "070322942",
            "country_code": "US",
            "telephone_number": "973-625-0600 x213",
            "fax_number": "973-625-3434",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7 Oak Ridge Rd Apt 3",
            "address_purpose": "LOCATION",
            "city": "Newfoundland",
            "state": "NJ",
            "postal_code": "074351439",
            "country_code": "US",
            "telephone_number": "973-625-0600 x213",
            "fax_number": "973-625-3434",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1116 Route 46",
            "address_purpose": "LOCATION",
            "city": "Parsippany",
            "state": "NJ",
            "postal_code": "070542100",
            "country_code": "US",
            "telephone_number": "973-625-0600 x213",
            "fax_number": "973-625-3434",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "925 Clifton Ave Fl 2",
            "address_purpose": "LOCATION",
            "city": "Clifton",
            "state": "NJ",
            "postal_code": "070132724",
            "country_code": "US",
            "telephone_number": "973-625-0600 x213",
            "fax_number": "973-625-3434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OCCHIUTO",
        "first_name": "TINA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "APRN, BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NJ",
            "license": "26NJ00128800",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00128800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, NJ

Sources for this page

Verify at the official NPI Registry.