Center for Adult Medicine and Preventive Care, PC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

CENTER FOR ADULT MEDICINE AND PREVENTIVE CARE, PC

Practice address

916-922 Main Ave
Suite 1a
Passaic, NJ 07055-8544

Phone

(973) 773-0334

Fax

(973) 773-0336

NPI assigned

Aug 2, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Carlos Alberto Tejeda, M.D.NPI 1851342703

Title

Medical Director

Phone

(718) 704-8983

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16835/brand/1/csg/1/fhir/r4

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carlos Alberto Tejeda, M.D.

  • Internal Medicine Physician
  • Passaic, NJ
  • NPI 1851342703
  Medicare reassignment NPD Authorized official
• Luz Maria Meneses, APN

  • Adult Health Nurse Practitioner
  • Secaucus, NJ
  • NPI 1518143403
  Medicare reassignment NPD
• Andres Vega, PA-C

  • Physician Assistant
  • Passaic, NJ
  • NPI 1700292851
  Medicare reassignment
• Javier Ricardo Ponce, DPM

  • Podiatrist
  • Newark, NJ
  • NPI 1679689764
  NPD (past)
• Cennia Nicole Hernandez, PA-C

  • Physician Assistant
  • Tucson, AZ
  • NPI 1306275037
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1217635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473897600000",
    "number": "1073779658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916-922 MAIN AVE",
            "address_2": "SUITE 1A",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070558544",
            "telephone_number": "973-773-0334",
            "fax_number": "973-773-0336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916-922 MAIN AVE",
            "address_2": "SUITE 1A",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070558544",
            "telephone_number": "973-773-0334",
            "fax_number": "973-773-0336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR ADULT MEDICINE AND PREVENTIVE CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-02",
        "last_updated": "2016-09-15",
        "status": "A",
        "authorized_official_last_name": "TEJEDA",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "ALBERTO",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "718-704-8983",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "135720",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Castilla, MD
• Vivian A Catania, DC
• Ccmma NJ LLC
• Susan Celnik
• Center for ABA and Behavioral Health
• Center for Humanistic Change of NJ, Inc.
• Center for Med Care, PC
• Center for Pediatric Neuroscience LLC
• Cespedes Dental Services
• Nelfa Cespedes, DDS

• Clinic/Center in Passaic, NJ
• Providers in Passaic, NJ by specialty
• Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.