Therapro-Corf, LLC

Primary specialty

Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X

Legal business name

THERAPRO-CORF, LLC

Practice address

600 Pavonia Ave
7TH Floor
Jersey City, NJ 07306-2929

Phone

(201) 418-0088

Fax

(201) 418-9420

NPI assigned

Jan 28, 2008

Last updated

Apr 4, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ravi Tikoo

Title

Ceo

Phone

(917) 536-8940

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1740467273. Details of each certification follow.

• CCN 314516 Comprehensive outpatient rehabilitation facility · Active · Name & address match · Details

Comprehensive outpatient rehabilitation facility certification: CCN 314516

Legal name

THERAPRO-CORF, LLC

Certification status

Active

Provider type (POS)

Comprehensive outpatient rehabilitation facility

Participating since

Apr 21, 2004

Last certification

Aug 28, 2024

Ownership / control type

Proprietary

Most recent change of ownership

Jan 22, 2008

Facility address

600 Pavonia Avenue - 7TH Floor
Jersey City, NJ 07306

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Therapro-Corf, LLC

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • North Bergen, NJ
  • NPI 1043497571

  4587748017

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Therapro-Corf LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Therapro-Corf, LLC

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • North Bergen, NJ
  • NPI 1043497571
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ravinder Tikoo, M.D.

  • Neurology Physician
  • North Bergen, NJ
  • NPI 1780713255
  NPD

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365033600000",
    "number": "1740467273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 PAVONIA AVE",
            "address_2": "7TH FLOOR",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073062929",
            "telephone_number": "201-418-0088",
            "fax_number": "201-418-9420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 PAVONIA AVE",
            "address_2": "7TH FLOOR",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073062929",
            "telephone_number": "201-418-0088",
            "fax_number": "201-418-9420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPRO-CORF, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-28",
        "last_updated": "2013-04-04",
        "status": "A",
        "authorized_official_last_name": "TIKOO",
        "authorized_official_first_name": "RAVI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "917-536-8940",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Comprehensive Outpatient Rehabilitation Facility (CORF) in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Comprehensive Outpatient Rehabilitation Facility (CORF) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.

Verify at the official NPI Registry.