Active NPI
Alfredo Tutiven, M.D.
- Ph.D. Medical Genetics
- Newark, NJ
National Provider Identifier
1033157540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ph.D. Medical Genetics
- License
- 25MA02934300
- Practice address
- 189 Walnut St
Newark, NJ 07105-1215 - Phone
- (973) 578-4745
- Fax
- (973) 578-8797
- NPI assigned
- Jun 4, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ph.D. Medical Genetics | 170100000X | 25MA02934300 | NJ | Primary |
Addresses
Primary practice location
189 Walnut St
Newark, NJ 07105-1215
Mailing address
189 Walnut St
Newark, NJ 07105-1215
Phone (973) 578-4745
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA02934300 | NJ | MD | Ph.D. Medical Genetics |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1033157540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "189 WALNUT ST",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071051215",
"telephone_number": "973-578-4745",
"fax_number": "973-578-8797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "189 WALNUT ST",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071051215",
"telephone_number": "973-578-4745",
"fax_number": "973-578-8797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUTIVEN",
"first_name": "ALFREDO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-04",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "170100000X",
"taxonomy_group": "",
"desc": "Medical Genetics, Ph.D. Medical Genetics",
"state": "NJ",
"license": "25MA02934300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.