Active NPI
Robert Christopher Tyrrell, DPM
- Primary Podiatric Medicine Podiatrist
- Cherry Hill, NJ
National Provider Identifier
1912906561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Podiatric Medicine Podiatrist
- License
- 25MD00180000
- Practice address
- 2250 Chapel Ave W Ste 130
Cherry Hill, NJ 08002-2051 - Phone
- (856) 663-3733
- Fax
- (856) 663-3660
- NPI assigned
- Jul 17, 2005
- Last updated
- Aug 11, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Podiatric Medicine Podiatrist | 213EP1101X | 25MD00180000 | NJ | Primary |
Addresses
Primary practice location
2250 Chapel Ave W Ste 130
Cherry Hill, NJ 08002-2051
Mailing address
44 Melrose Ave
Haddon Township, NJ 08108-2314
Phone (856) 869-0202
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0928309 | Other | NJ | AETNA |
| 441295 | Other | NJ | UNITED HEALTHCARE |
| 1189506 | Medicaid | NJ | |
| 2232722520 | Other | NJ | HORIZON BLUE SHIELD NJ |
| 0114943000 | Other | NJ | AMERIHEALTH |
| E34136 | Other | NJ | AMERIHEALTH ADMINITRATORS |
| 000534136 | Other | NJ | HIGHMARK BLUE SHIELD PA |
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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100525000226 | NJ | Practitioner - Podiatry | 9537298898 | Practice locations: Cherry Hill, NJ; Voorhees, NJ |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Temple University School of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1 Brendenwood Dr
Voorhees, NJ 08043-1656
Phone (856) 424-7773
2250 Chapel W Ave
Suite 130
Cherry Hill, NJ 08002-2051
Phone (856) 663-3733
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 45 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 2326 |
| Removal or shaving of skin growth | 894 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Durable Medical Equipment & Medical Supplies
- Cherry Hill, NJ
- NPI 1609047836
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439251200000",
"number": "1912906561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 MELROSE AVE",
"city": "HADDON TOWNSHIP",
"state": "NJ",
"postal_code": "081082314",
"telephone_number": "856-869-0202",
"fax_number": "856-869-8159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2250 CHAPEL AVE W STE 130",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080022051",
"telephone_number": "856-663-3733",
"fax_number": "856-663-3660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TYRRELL",
"first_name": "ROBERT",
"middle_name": "CHRISTOPHER",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-17",
"last_updated": "2015-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "213EP1101X",
"taxonomy_group": "",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "NJ",
"license": "25MD00180000",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0928309",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "441295",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1189506",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON BLUE SHIELD NJ",
"identifier": "2232722520",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH",
"identifier": "0114943000",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH ADMINITRATORS",
"identifier": "E34136",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD PA",
"identifier": "000534136",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cherry Hill, NJ
- Twin Oaks Community Services, Inc
- Twin Oaks Community Services, Inc.
- Twin Oaks Community Services., Inc
- Ashley Tyburski, OT
- Andrea Tylicki, OTR
- U.S. Urology New Jersey Practice LLC (U.S. Urology Partners New Jersey)
- Masako Ueda, M.D.
- Melissa Uhle, OT
- Inez V. Ukstins, RPH
- Marc Joseph Ullman, MSW, LSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.