Individual provider Active NPI

Luigi Tirro

  • Physician Assistant
  • Elizabeth, NJ
National Provider Identifier
1720566144
Registry record updated Jul 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00484500 Issued in NJ
Practice address
400 Westfield Ave
Elizabeth, NJ 07208-1621
Phone
(908) 691-3800
NPI assigned
Jul 30, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 25MP00484500 NJ Primary

Addresses

Primary practice location

400 Westfield Ave
Elizabeth, NJ 07208-1621

Mailing address

778 Pelton Ave
Staten Island, NY 10310-3142
Phone (917) 974-0827

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190813001222 NJ Practitioner - Physician Assistant 7315274420 Reassigns benefits to 3 organizations
I20230928001590 NY Practitioner - Physician Assistant 7315274420 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jersey Irish MedicalGroup PAC ID 0941451215, 34 clinicians

Practice addresses (Care Compare)

1085 Whitehorse Mercerville Rd
Hamilton Township, NJ 08610-1424
Phone (215) 648-9000

1680 N Olden Ave
Ewing, NJ 08638-3209
Phone (609) 749-6180

214 Hwy 36
West Long Branch, NJ 07764-1305
Phone (732) 222-8000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science, Physician Assistant

State licenses

LicenseStateTypeSpecialty
023481NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Union County Health Care Associates LLC CurrentSince Aug 22, 2025 Accepting new patients
MD Care Urgent Center LLC PastSince Dec 1, 2010 Accepting new patients

Locations

637 Westfield Ave
Elizabeth, NJ 07208
Phone (908) 691-3800

400 Westfield Ave
Elizabeth, NJ 07208
Phone (908) 428-8001

300 South Ave
Garwood, NJ 07027
Phone (908) 232-2273

3540 John F Kennedy Blvd
#T1
Jersey City, NJ 07307

2005 Saint Georges Ave
Rahway, NJ 07065
Phone (732) 381-3740

33 Overlook Rd
Ste 304
Summit, NJ 07901
Phone (732) 381-3740

Organizations & group practices 5

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": "1532908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532908800000",
    "number": "1720566144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "778 PELTON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103103142",
            "telephone_number": "917-974-0827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 WESTFIELD AVE",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072081621",
            "telephone_number": "908-691-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIRRO",
        "first_name": "LUIGI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-30",
        "last_updated": "2018-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00484500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth, NJ

Sources for this page

Verify at the official NPI Registry.