Carlos Alberto Tirado, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

25MP00410900 Issued in NJ

Practice address

17 Arcadian Way
Suite 108
Paramus, NJ 07652-1245

Phone

(201) 977-2889

Fax

(201) 977-2890

NPI assigned

Sep 28, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Diligent Urgent Care LLC

  • Urgent Care Clinic/Center
  • Union City, NJ
  • NPI 1861977902
  NPD
• Am PM Primary Care

  • Primary Care Clinic/Center
  • Bergenfield, NJ
  • NPI 1083045694
  NPD (past)
• Helene Miller, MD, LLC

  dba Family Psychiatry and Therapy

  • Child & Adolescent Psychiatry Physician
  • Paramus, NJ
  • NPI 1902261530
  NPD (past)
• The Radiology Group of New Jersey, LLC

  dba The Medical Group of New Jersey

  • Multi-Specialty Clinic/Center
  • Hackettstown, NJ
  • NPI 1174010540
  NPD (past)

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

{
    "created_epoch": "1475020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565568000000",
    "number": "1790234995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 ARCADIAN WAY",
            "address_2": "SUITE 108",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076521245",
            "telephone_number": "201-977-2889",
            "fax_number": "201-977-2890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 ARCADIAN WAY",
            "address_2": "SUITE 108",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076521245",
            "telephone_number": "201-977-2889",
            "fax_number": "201-977-2890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIRADO",
        "first_name": "CARLOS",
        "middle_name": "ALBERTO",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-28",
        "last_updated": "2019-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00410900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thrive Peter Weiss MBR
• Thrive-Mind & Body Wellness
• Throne Biotechnologies Inc
• Erika Fiorella Tievsky, D.O.
• Heidi Tinter, DPT
• TMS Paramus PC
• Rachel Tobin
• Jacques F Tohme, MD
• Jessica Tomarchio
• Robyn Ann Tomczyk

• Physician Assistant in Paramus, NJ
• Providers in Paramus, NJ by specialty
• Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.