DR. ALAN C. TILLIS (NPI# 1750593356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750593356 |
| Entity Type | Individual |
| Full Name | DR. ALAN C. TILLIS |
| Credential | M.D. |
| Practice Address |
1 Oskar Ct Livingston NJ 07039-8236 |
| Practice Telephone | 9739920538 |
| Practice Fax Number | 9739921333 |
| Mailing Telephone | 9739920538 |
| Mailing Fax Number | 9739921333 |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XP3100X |
Orthopaedic Surgery Specialization: Pediatric Orthopaedic Surgery |
25MA02117500 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
1 OSKAR CT |
| City | LIVINGSTON |
| State | NJ |
| Zip Code | 07039-8236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770184111 | Dentistry With A Smile, Inc. | Durable Medical Equipment & Medical Supplies | 1100 Town Center Way, 14-a-ii, Livingston, NJ 07039 | 2020-11-03 |
| 1326692104 | Amy Beth Lipsey | Social Worker | Amy Lipsey, 301 South Livingston Avenue, Livingston, NJ 07039 | 2019-07-30 |
| 1427543412 | Bodypro Physical Therapy, LLC | Physical Therapist | 5 Country Club Ct, Livingston, NJ 07039 | 2018-06-22 |
| 1538665245 | Kushal Shukla | Student in an Organized Health Care Education/Training Program | 20 Canoe Brook Dr, Livingston, NJ 07039 | 2018-04-02 |
| 1629594643 | Northeast Pulmonary and Sleep Medical LLC | Specialist | 506 Regent Street, Suite A, Livingston, NJ 07039 | 2017-08-22 |
| 1184154098 | Snf Old Short Hills Operating Company, LLC | Skilled Nursing Facility | 348 East Cedar Street, Livingston, NJ 07039 | 2017-06-13 |
| 1093254690 | Suzanne M Verbesky Dpm LLC | Clinic/Center | 44 West Mcclellan Avenue, Livingston, NJ 07039 | 2017-02-15 |
| 1649723743 | Essex County Weightloss, LLC | Internal Medicine | 5 Regent St Ste 509, Livingston, NJ 07039 | 2016-07-26 |
| 1912352824 | Grant Arzumanov | Student in an Organized Health Care Education/Training Program | 94 Old Short Hills Rd., Livingston, NJ 07039 | 2016-04-28 |
| 1891158671 | Journey's Eve Counseling LLC | Counselor | 2 Northfield Rd, 210a, Livingston, NJ 07039 | 2016-03-30 |
| Find all providers in zip 07039 | ||||
| Taxonomy Code | 207XP3100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Pediatric Orthopaedic Surgery |
| An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones. |
| Notes: Source: American Academy of Pediatrics, www.aap.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841717808 | Coastal Pediatric Orthopedics | Orthopaedic Surgery | 833 Lacey Rd Ste 2, Forked River, NJ 08731-1200 | 2017-08-29 |
| 1124367404 | Evan Curatolo | Orthopaedic Surgery | 1131 Broad St Ste 202, Shrewsbury, NJ 07702-4368 | 2013-02-07 |
| 1457593261 | Christos Plakas | Orthopaedic Surgery | 200 White Rd Ste 108, Little Silver, NJ 07739-1160 | 2009-03-26 |
| 1346416997 | Alice Chu | Orthopaedic Surgery | 150 Bergen St Unit 8c138, Newark, NJ 07103 | 2008-05-05 |
| 1437370004 | Surender M Grover | Orthopaedic Surgery | 979 Highway 9 North, South Amboy, NJ 08879 | 2007-05-01 |
| 1184626327 | Jennifer Marie Tareco | Orthopaedic Surgery | 766 Route 202/206, Suite 1, Bridgewater, NJ 08807-1777 | 2005-06-01 |
| 1063033421 | Atlantic Pediatric Orthopedics | Orthopaedic Surgery | 1131 Broad St Ste 202, Shrewsbury, NJ 07702-4368 | 2020-04-27 |
| 1619511078 | Stc Pediatrics LLC | Orthopaedic Surgery | 100 Kings Way E Ste C, Sewell, NJ 08080-2238 | 2019-10-29 |
| 1003384918 | Preferred Pediatric Orthopedic Surgery LLC | Orthopaedic Surgery | 106 Prospect Street, 3rd Floor, Ridgewood, NJ 07450-4433 | 2018-11-08 |
| 1275943110 | Neil Kaushal | Orthopaedic Surgery | 205 South Orange Avenue, C1200, Newark, NJ 07103 | 2014-04-30 |
| Find all providers with the same taxonomy | ||||
| City | LIVINGSTON |
| Zip Code | 07039 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.