Active NPI
Louis Thomas Tucciarone Jr., MSOTR
- Occupational Therapist
- Manchester, NJ
National Provider Identifier
1508084039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- TR345500
- Practice address
- 12 Tisdale Rd
Manchester, NJ 08759-5157 - Phone
- (908) 930-3401
- NPI assigned
- Apr 22, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | TR345500 | NJ | Primary |
Addresses
Primary practice location
12 Tisdale Rd
Manchester, NJ 08759-5157
Mailing address
12 Tisdale Rd
Manchester, NJ 08759-5157
Phone (908) 930-3401
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TR345500 | NJ | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508084039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 TISDALE RD",
"city": "MANCHESTER",
"state": "NJ",
"postal_code": "087595157",
"telephone_number": "908-930-3401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 TISDALE RD",
"city": "MANCHESTER",
"state": "NJ",
"postal_code": "087595157",
"telephone_number": "908-930-3401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUCCIARONE",
"first_name": "LOUIS",
"middle_name": "THOMAS",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "MSOTR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NJ",
"license": "TR345500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manchester, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.