DR. DREW TUCKMAN M.D. NPI 1063459105

NPI Information

  • NPI: 1063459105
  • Provider Name: DR. DREW TUCKMAN, M.D.
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • Address: 30 W CENTURY RD
    SUITE 220
    PARAMUS, NJ
    ZIP 07652
  • Phone: (201) 986-1010

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NPI Details

DR. Drew Tuckman, M.D. is a specialist in Paramus, NJ. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Drew Tuckman, M.D. NPI is 1063459105. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

30 W CENTURY RD
SUITE 220
PARAMUS, NJ
ZIP 07652-433
Phone: (201) 986-1010

The enumeration date for this NPI number is 5/31/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist036947NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1C54917MEDICARE UPINNEW JERSEY
2435443MEDICARE ID-TYPE UNSPECIFIEDNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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