| Robert Parcon Ticzon, | |
|
601 Plymouth Rd, Hillside, NJ 07205-2527 | |
| (908) 425-1108 | |
| Not Available |
| Full Name | Robert Parcon Ticzon |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 601 Plymouth Rd, Hillside, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184970329 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 033797 (New York) | Primary |
| Provider Name | Spine Sports & Interventional Pain Medicine PC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1043626435 PECOS PAC ID: 5193068294 Enrollment ID: O20190513000710 |
| Provider Name | New York Luna Care Physical Therapy PLLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1194314062 PECOS PAC ID: 0840604666 Enrollment ID: O20210205001168 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Parcon Ticzon, 601 Plymouth Rd, Hillside, NJ 07205-2527 Ph: (908) 425-1108 | Robert Parcon Ticzon, 601 Plymouth Rd, Hillside, NJ 07205-2527 Ph: (908) 425-1108 |
Jennifer B Luna, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 401 Hillside Ave, Hillside, NJ 07205 Phone: 615-778-4066 |
Hillside Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1542 Morris Pl, Hillside, NJ 07205 Phone: 201-240-0918 Fax: 973-926-2386 |
Tiffany Nwako, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 565 Conant St, Hillside, NJ 07205 Phone: 973-521-0238 |
Home Base Rehab Physical Therapist Medicare: Medicare Enrolled Practice Location: 194 Wilder St, Hillside, NJ 07205 Phone: 845-517-7802 |