Tony John Tarasenko, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA05013400 Issued in NJ

Practice address

116 Corporate Blvd Ste E
South Plainfield, NJ 07080-2437

Phone

(908) 757-1424

NPI assigned

Jun 4, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548462377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 KENT PLACE BLVD",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079014708",
            "telephone_number": "908-277-2135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 CORPORATE BLVD STE E",
            "city": "SOUTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070802437",
            "telephone_number": "908-757-1424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARASENKO",
        "first_name": "TONY",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA05013400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theresa Stys, LMT
• Sushma Agarwal MD PA
• SV Bhatt LLC. (Drug Mart LTC)
• SV Bhatt LLC. (Drug Mart)
• Odin Tangvald, MA, LPC, NCC
• Jordan Robert Taylor, OD
• Anokhi Thakkar
• Jyotsna Thapar, DPM
• The Communication Cottage
• The Mind and Body Movement

• Internal Medicine Physician in South Plainfield, NJ
• Providers in South Plainfield, NJ by specialty
• Internal Medicine Physician in New Jersey

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.