Individual provider Active NPI

Evelyn Venzon Tiu, M.D.

  • Infectious Disease Physician
  • Toms River, NJ
National Provider Identifier
1750335253
Registry record updated Jun 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
25MA07224900 Issued in NJ
Practice address
1163 Route 37 W Ste A1
Toms River, NJ 08755
Phone
(732) 505-4007
Fax
(732) 736-8811
NPI assigned
May 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 25MA07224900 NJ Primary

Addresses

Primary practice location

1163 Route 37 W Ste A1
Toms River, NJ 08755

Mailing address

1163 Route 37 W Ste A1
Toms River, NJ 08755-4974
Phone (732) 505-4007

Other identifiers 1

IdentifierTypeStateIssuer
0029424MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040716000096 NJ Practitioner - Infectious Disease 6305825092 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Olivia T. Ortiz MD PAGroup PAC ID 0749441137, 5 clinicians

Practice addresses (Care Compare)

1163 Route 37 W
Suite A1
Toms River, NJ 08755-4974
Phone (732) 505-4007

Hospital & facility affiliations

  • Community Medical Center Hospital, Toms River, NJ, CCN 310041

Merit-based Incentive Payment System (MIPS)

Final score
50.9 of 100Reported as individual
Quality
59.41
Improvement activities
0
Cost
68.86

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA07224900NJMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Olivia T. Ortiz MD PA Infectious Disease CurrentSince Jul 2, 2018 Accepting new patients
Infections Limited East, PC Infectious Disease Past Accepting new patients

Locations

1163 Route 37 W
Ste A1
Toms River, NJ 08755
Phone (732) 505-4007

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23288/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529625600000",
    "number": "1750335253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1163 ROUTE 37 W STE A1",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087554974",
            "telephone_number": "732-505-4007",
            "fax_number": "732-736-8811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1163 ROUTE 37 W STE A1",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "08755",
            "telephone_number": "732-505-4007",
            "fax_number": "732-736-8811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIU",
        "first_name": "EVELYN",
        "middle_name": "VENZON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2018-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NJ",
            "license": "25MA07224900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0029424",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

Verify at the official NPI Registry.