NPIMap

Organization Active NPI

Am PM Primary Care

  • Primary Care Clinic/Center
  • Bergenfield, NJ
National Provider Identifier
1083045694
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
25MA06949100 Issued in NJ
Legal business name
AM PM PRIMARY CARE
Practice address
19 S Washington Ave
Bergenfield, NJ 07621-2324
Phone
(201) 387-0177
Fax
(201) 966-0588
NPI assigned
Dec 6, 2013
Last updated
Nov 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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

Authorized official

Name
Dr. Wesley Thek, M.D.NPI 1275562837
Title
Direct Owner
Phone
(201) 923-1177

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 25MA06949100 NJ Primary

Addresses

Primary practice location

19 S Washington Ave
Bergenfield, NJ 07621-2324

Mailing address

19 S Washington Ave
Bergenfield, NJ 07621-2324
Phone (201) 387-0177

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140317000013 NJ Part B Supplier - Clinic/Group Practice 1254562291 Receives reassigned benefits from 1 practitioner
Practice locations: Bergenfield, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 113

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 113

NPI Registry JSON

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

{
    "created_epoch": "1386288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701129600000",
    "number": "1083045694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 S WASHINGTON AVE",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076212324",
            "telephone_number": "201-387-0177",
            "fax_number": "201-966-0588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 S WASHINGTON AVE",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076212324",
            "telephone_number": "201-387-0177",
            "fax_number": "201-966-0588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AM PM PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-06",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A",
        "authorized_official_last_name": "THEK",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_title_or_position": "DIRECT OWNER",
        "authorized_official_telephone_number": "201-923-1177",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NJ",
            "license": "25MA06949100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bergenfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; 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.