Active NPI
Jonathan Bryan Tiu, MD
- Neurology Physician
- Hackensack, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 25MA11898000
- Practice address
- 360 Essex St Ste 303
Hackensack, NJ 07601-8566 - Phone
- (551) 996-8100
- NPI assigned
- Apr 14, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 2018036869 | MO | |
| Neurology Physician | 2084N0400X | 25MA11898000 | NJ | Primary |
Addresses
Primary practice location
360 Essex St Ste 303
Hackensack, NJ 07601-8566
Mailing address
331 Newman Springs Rd Ste 220
Red Bank, NJ 07701-5688
Other practice location 1
1 Barnes Jewish Hospital Plz
Div Neurology Neurorehabilitation
Saint Louis, MO 63110-1003
Phone (314) 362-1408
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200070369 | Medicaid | MO |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Washington University |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Tulane University School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
360 Essex St
Suite 303
Hackensack, NJ 07601-8550
Phone (201) 710-2768
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.33 of 100
- Quality
- 66.38
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.39
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.2 of 100
- Quality
- 71.6
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.75
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2018036869 | MO | MD | Neurology Physician |
| 25MA11898000 | NJ | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current | Accepting new patients | |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current | Accepting new patients | |
| Washington University | Current | Accepting new patients | |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Past | Accepting new patients | |
| Hackensack Meridian Health Medical Group - Complex Care PC | Past | Accepting new patients | |
| Ozarks Medical Center | Neurology | Past | Accepting new patients |
| Washington University | Past | Accepting new patients |
Locations
4921 Parkview Pl
Ste 6A6B12A
Saint Louis, MO 63110
Phone (314) 747-2551
660 S Euclid Ave
#8111
Saint Louis, MO 63110
Phone (314) 362-3281
1600 S Brentwood Blvd
Saint Louis, MO 63144
Phone (314) 362-4342
660 S Euclid Ave
Saint Louis, MO 63110
4455 Duncan Ave
Saint Louis, MO 63110
Phone (314) 658-3800
1 Barnes Jewish Hospital Plz
Saint Louis, MO 63110
Phone (314) 362-1700
660 S Euclid Ave
Stop 8221871800
Saint Louis, MO 63110
30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066
360 Essex St
Ste 303
Hackensack, NJ 07601
Phone (551) 996-3091
650 From Rd
Ste 506
Paramus, NJ 07652
Phone (551) 996-1342
331 Newman Springs Rd
Ste 220
Red Bank, NJ 07701
Phone (732) 807-0514
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IHJHBD
Organizations & group practices 7
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.
-
- Surgical Critical Care Physician
- Red Bank, NJ
- NPI 1215989249
-
- Multi-Specialty Clinic/Center
- Saint Louis, MO
- NPI 1356382527
-
- Durable Medical Equipment & Medical Supplies
- North Bergen, NJ
- NPI 1215734199
-
- Internal Medicine Physician
- Red Bank, NJ
- NPI 1154379626
-
- Psychologist
- Red Bank, NJ
- NPI 1609593722
-
- Multi-Specialty Clinic/Center
- Saint Louis, MO
- NPI 1669405544
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hackensack, NJ
- NPI 1457456279
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711929600000",
"number": "1659767838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "331 NEWMAN SPRINGS RD STE 220",
"city": "RED BANK",
"state": "NJ",
"postal_code": "077015688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 ESSEX ST STE 303",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076018566",
"telephone_number": "551-996-8100"
}
],
"practiceLocations": [
{
"address_1": "1 Barnes Jewish Hospital Plz",
"address_2": "Div Neurology Neurorehabilitation",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631101003",
"country_code": "US",
"telephone_number": "314-362-1408",
"fax_number": "314-362-4566",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TIU",
"first_name": "JONATHAN",
"middle_name": "BRYAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-04-14",
"last_updated": "2024-04-01",
"certification_date": "2024-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MO",
"license": "2018036869",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NJ",
"license": "25MA11898000",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200070369",
"state": "MO"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "Y",
"affiliationName": "Washington University",
"address_1": "1 Barnes Jewish Hospital Plz",
"address_2": "Div Neurology Neurorehabilitation",
"city": "Saint Louis",
"state": "MO",
"country_code": "US",
"postal_code": "631101003",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Hackensack, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.