Individual provider Active NPI

Ravinder Tikoo, M.D.

  • Neurology Physician
  • North Bergen, NJ
National Provider Identifier
1780713255
Registry record updated Apr 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
198252 Issued in NY
Practice address
9225 Kennedy Blvd
North Bergen, NJ 07047-5361
Phone
(201) 869-2707
NPI assigned
Mar 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 198252 NY Primary
Neurology Physician 2084N0400X 25MA08433600 NJ

Addresses

Primary practice location

9225 Kennedy Blvd
North Bergen, NJ 07047-5361

Mailing address

9225 Kennedy Blvd
North Bergen, NJ 07047-5361
Phone (201) 869-2707

Other identifiers 1

IdentifierTypeStateIssuer
01614171MedicaidNY

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
I20080808000421 NJ Practitioner - NeurologyPractitioner - Pain Management 3173415668 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Pain Management
Education
University of Iowa, RJ & L Carver College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Premier Orthopaedics Andsports Medicine,PCGroup PAC ID 1052391430, 12 clinicians
Allhealthmedicalgroup Com PCGroup PAC ID 1456746692, 28 clinicians
Therapro-Corf, LLCGroup PAC ID 4587748017, 3 clinicians

Practice addresses (Care Compare)

1255 Broad St
Suite 201a
Bloomfield, NJ 07003-3061
Phone (973) 842-2100

357 Prospect Ave
Hackensack, NJ 07601-2519
Phone (551) 309-3555

9225 Kennedy Blvd
Suite a
North Bergen, NJ 07047-5361
Phone (201) 869-2707

Hospital & facility affiliations

  • Palisades Medical Center Hospital, North Bergen, NJ, CCN 310003
  • Hackensack University Medical Center Hospital, Hackensack, NJ, CCN 310001
  • Kessler Rehab Center Inpatient rehabilitation facility, West Orange, NJ, CCN 313025

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Therapro-Corf, LLC Current Accepting new patients
Premier Orthopaedics &Sports Medicine,PC CurrentSince May 29, 2020 Accepting new patients
Hand & Trauma Institute CurrentSince May 29, 2020 Accepting new patients
Allhealthmedicalgroup Com PC CurrentSince Jun 1, 2023 Accepting new patients
Eastern Comprehensive Medical Services, P.C. Neurology PastSince Aug 16, 1998 Accepting new patients
Therapro Medical and Surgical Rehabilitation, P.C. Neurology PastSince Nov 22, 2023 Accepting new patients
Advanced Center for Excellence in Spine Surgery Past Accepting new patients

Locations

148 State St
Fl 10
Boston, MA 02109
Phone (617) 426-2026

1255 Broad St
Ste 201B
Bloomfield, NJ 07003
Phone (201) 833-9500

1255 Broad St
Ste 201A
Bloomfield, NJ 07003
Phone (201) 833-9500

663 Palisade Ave
Ste 302
Cliffside Pk, NJ 07010
Phone (201) 833-9500

403 Grand Ave
Englewood, NJ 07631
Phone (201) 431-7703

700 E Palisade Ave
Englewood Cliffs, NJ 07632
Phone (201) 568-3412

83 Summit Ave
Hackensack, NJ 07601
Phone (201) 646-0010

357 Prospect Ave
Hackensack, NJ 07601
Phone (866) 567-3633

600 Pavonia Ave
Ste 7
Jersey City, NJ 07306
Phone (201) 418-0088

255 W Spring Valley Ave
Ste 102
Maywood, NJ 07607
Phone (201) 279-6340

9225 Kennedy Blvd
North Bergen, NJ 07047
Phone (201) 453-2800

9225 Kennedy Blvd
#F
North Bergen, NJ 07047
Phone (201) 500-9755

9225 Kennedy Blvd
Ste A
North Bergen, NJ 07047
Phone (201) 869-2717

610 Valley Health Plz
Paramus, NJ 07652
Phone (201) 797-2660

428 Union Ave
Paterson, NJ 07502
Phone (201) 489-3888

69 1st Ave
Raritan, NJ 08869
Phone (800) 631-5250

228 S Orange Ave
South Orange, NJ 07079
Phone (973) 761-4455

111 Galway Pl
Ste 300
Teaneck, NJ 07666
Phone (201) 833-9500

3196 Kennedy Blvd
Ste 3
Union City, NJ 07087
Phone (201) 223-4949

3196 Kennedy Blvd
Ste 3A
Union City, NJ 07087

223 Old Hook Rd
Ste 2
Westwood, NJ 07675
Phone (201) 297-9167

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23990/brand/1/csg/1/fhir/r4
  • Direct secure messaging: ravinder.tikoo.1@23990.direct.athenahealth.com

Organizations & group practices 8

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 5

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": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492992000000",
    "number": "1780713255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9225 KENNEDY BLVD",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070475361",
            "telephone_number": "201-869-2707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9225 KENNEDY BLVD",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070475361",
            "telephone_number": "201-869-2707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIKOO",
        "first_name": "RAVINDER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-02",
        "last_updated": "2017-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "198252",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NJ",
            "license": "25MA08433600",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01614171",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bergen, NJ

Sources for this page

Verify at the official NPI Registry.