MR. ROBERTO TIRADO NP
NPI 1558514836
Nurse Practitioner - Adult Health in Paterson, NJ

Q: What is Roberto Tirado's NPI number?

The NPI number for Roberto Tirado is 1558514836. It was assigned to this individual provider in the NPPES registry on October 30, 2008.

Q: What is Roberto Tirado's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Roberto Tirado was last updated on October 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 30, 2008PECOS EnrolledAccepts Medicare Assignment

56 HAMILTON ST, ST. JOSEPH OUTPATIENT CLINIC, PATERSON, NJ 07505(973) 754-4750(973) 754-4777 Get Directions Write a Review

NPPES record last updated: October 9, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Mr. Roberto Tirado Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. ROBERTO TIRADO NP (NPI 1558514836) is an individual adult health provider in Paterson, New Jersey, licensed in New Jersey (26NJ00181400) and active in the NPI registry since October 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1558514836

Entity TypeIndividualMale

Primary Taxonomy363LA2200X

Provider Legal NameMR. ROBERTO TIRADOCredential: NP

Location Address56 HAMILTON ST, ST. JOSEPH OUTPATIENT CLINICPaterson, NJ 07505-2003

Mailing Address278 Degraw AveTeaneck, NJ 07666-3255 · (201) 692-8812

Phone(973) 754-4750

Fax(973) 754-4777

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateOctober 30, 2008

Last NPPES UpdateOctober 9, 2024

NPPES CertifiedOctober 9, 2024

✔ NPI 1558514836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in NJ · 26NJ00181400

Also ListedRegistered NurseTaxonomy 163W00000X · License 26NJ00181400 (NJ)

56 HAMILTON ST, Paterson, NJ 07505

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Roberto Tirado Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6002072113

PECOS Enrollment IDI20120718000066

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Roberto Tirado reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St. Joseph's Healthcare, Inc.

0.9 mi

Internal Medicine

703 MAIN ST, ST. JOSEPH'S REGIONAL MEDICAL CENTER
Paterson, NJ 07503

Reassigned Medicare billing, New Jersey enrollment
Medicare enrollment name: St Josephs Healthcare Inc
372 clinicians in this Medicare group

NPI 1497791297 (973) 754-2000

Apex Medical Professionals

3.2 mi

Internal Medicine

6-20 PLAZA RD
Fair Lawn, NJ 07410

Reassigned Medicare billing, New Jersey enrollment
8 clinicians in this Medicare group

NPI 1891144465 (201) 797-2003

Garden State Counseling, Inc

3.5 mi

Psychiatry

506 HAMBURG TPKE, SUITE 209
Wayne, NJ 07470

Reassigned Medicare billing, New Jersey enrollment
6 clinicians in this Medicare group

NPI 1871901801 (631) 839-1880

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.

409 services65 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

409 services65 patients

Principal care management services for a single high-risk disease, first 30 minutes of clinical staff time directed by health care professional, per calendar month 99426

Principal care management services focus on managing a single high-risk disease. This involves a health care professional directing clinical staff for the first 30 minutes each month. The aim is to monitor your health, coordinate care, and provide necessary support for your disease management.

198 services62 patients

Principal care management services for a single high-risk disease, each additional 30 minutes of clinical staff time directed by health care professional, per calendar month 99427

Principal Care Management (PCM) services focus on managing a single high-risk disease. It involves additional 30 minutes of clinical staff time per month, overseen by a healthcare professional. This includes monitoring your health, coordinating care, and developing a personalized treatment plan.

198 services62 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

188 services70 patients

Psychotherapy with evaluation and management visit, 30 minutes 90833

Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.

140 services54 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07505 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$98.09 typical visit price

range $63.84 – $190.92

Typical copayment $24.52 (range $15.96 – $47.73)

Most-billed visit code 99203

Established Patient

$111.57 typical visit price

range $20.97 – $155.92

Typical copayment $27.89 (range $5.24 – $38.98)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HAROLD ALTMAN PH.D.

Psychologist (Clinical)

56 HAMILTON ST, SUITE 4
PATERSON, NJ 07505

Passaic County (973) 754-4750

ST. JOSEPHS REGIONAL MEDICAL CENTER

Clinic/Center (Mental Health (Including Community Mental Health Center))

56 HAMILTON ST
PATERSON, NJ 07505

Passaic County (973) 754-4761

ANTONIO PALACIOS M.D.

Psychiatry & Neurology (Psychiatry)

56 HAMILTON ST, SJRMC MENTAL HEALTH CLINIC
PATERSON, NJ 07505

Passaic County (973) 754-4750

LOUIS ARROYO M.D.

Psychiatry & Neurology (Psychiatry)

56 HAMILTON ST
PATERSON, NJ 07505

Passaic County (973) 754-4750

CELESTE DUNHAM

Counselor

56 HAMILTON ST
PATERSON, NJ 07505

Passaic County (732) 674-9857

DR. JUDITH FIONA JOSEPH M.D.

Psychiatry & Neurology (Psychiatry)

56 HAMILTON ST
PATERSON, NJ 07505

Passaic County (973) 754-4766

MR. LUIS CARLOS DELACRUZ LPC

Counselor (Professional)

56 HAMILTON ST
PATERSON, NJ 07505

Passaic County (973) 754-8619

PRISCILLA PINEDA

Social Worker (Clinical)

56 HAMILTON ST
PATERSON, NJ 07505

Passaic County (973) 754-4762

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Roberto Tirado's NPI number?

The NPI number for Roberto Tirado is 1558514836. It was assigned to this individual provider in the NPPES registry on October 30, 2008.

Where is Roberto Tirado located?

Roberto Tirado practices at 56 Hamilton St St. Joseph Outpatient Clinic, Paterson, NJ 07505. The listed phone number is (973) 754-4750.

What is Roberto Tirado's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Roberto Tirado enrolled in Medicare?

Yes. Roberto Tirado is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Roberto Tirado's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Roberto Tirado reassigns Medicare benefits to 3 organizations: St. Joseph's Healthcare, Inc. (Paterson, NJ), Apex Medical Professionals (Fair Lawn, NJ) and Garden State Counseling, Inc (Wayne, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Roberto Tirado's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Roberto Tirado accept?

Health plans from Oscar Health list Roberto Tirado as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Roberto Tirado was last updated on October 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.