Active NPIIndividual providerSole proprietor

Matthew Tylicki

Occupational Therapy Assistant in North Bergen, New Jersey

NPI Number1972048114
Practice location
7600 River RD, North Bergen, NJ 07047-6217
Fax
—
Last updated
December 26, 2016

Matthew Tylicki is an Occupational Therapy Assistant based in North Bergen, NJ. Matthew Tylicki practices in North Bergen, NJ. The NPI Number for Matthew Tylicki is 1972048114 and holds a License No. 46TA09117400 (NJ). The current practice location address for Matthew Tylicki is 7600 River RD, North Bergen, NJ 07047-6217 and can be reached out via phone at 201-854-5000.

Provider Profile Details

NPI Number
1972048114
Provider Name
Matthew Tylicki
Provider Entity Type
Individual
Gender
Male
Address
7600 River RD, North Bergen, NJ 07047-6217
Phone Number
201-854-5000
Primary Taxonomy
Occupational Therapy Assistant · 224Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
December 26, 2016
Last Update Date
December 26, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
7600 River RD
North Bergen, NJ 07047-6217
Zip
07047-6217
Phone Number
201-854-5000
North Bergen, NJ 07047Get directions →

Provider Business Mailing Address Details

Address
7600 River RD
North Bergen, NJ 07047-6217
City
North Bergen
State
NJ
Zip
07047-6217
Phone Number
201-854-5000

License Information

License Number
46TA09117400
License State
NJ
Taxonomy
Occupational Therapy Assistant · 224Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Matthew Tylicki?

The NPI number of Matthew Tylicki is 1972048114. It was assigned on December 26, 2016 and is currently active in the NPPES registry.

What is the specialty of Matthew Tylicki?

Matthew Tylicki is registered under the primary taxonomy Occupational Therapy Assistant (code 224Z00000X), licensed in NJ under license number 46TA09117400.

Where does Matthew Tylicki practice?

The practice location is 7600 River RD, North Bergen, NJ 07047-6217. The office can be reached at 201-854-5000 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1972048114 directly on the NPPES registry website.

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