Organization Active NPI

Tengson Medical Office, LLC

  • Primary Care Clinic/Center
  • Paterson, NJ
National Provider Identifier
1154627511
Registry record updated Feb 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
MA66349 Issued in NJ
Legal business name
TENGSON MEDICAL OFFICE, LLC
Practice address
32 Hine St
Suite 210
Paterson, NJ 07503-2955
Phone
(973) 742-0046
Fax
(973) 742-5824
NPI assigned
Feb 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2011

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

Authorized official

Name
Dr. Roger Camba Tengson Jr., MDNPI 1326094921
Title
Physician
Phone
(201) 615-3284

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 MA66349 NJ Primary

Addresses

Primary practice location

32 Hine St
Suite 210
Paterson, NJ 07503-2955

Mailing address

32 Hine St
Suite 210
Paterson, NJ 07503-2955
Phone (973) 742-0046

Other identifiers 1

IdentifierTypeStateIssuer
7805004MedicaidNJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2078559Tengson Medical Office, LLC32 Hine Street, Suite 210, Paterson, NJ 07503Certificate of waiverMay 29, 2028

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2925/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1296604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296604800000",
    "number": "1154627511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 HINE ST",
            "address_2": "SUITE 210",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075032955",
            "telephone_number": "973-742-0046",
            "fax_number": "973-742-5824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 HINE ST",
            "address_2": "SUITE 210",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075032955",
            "telephone_number": "973-742-0046",
            "fax_number": "973-742-5824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENGSON MEDICAL OFFICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-02",
        "last_updated": "2011-02-02",
        "status": "A",
        "authorized_official_last_name": "TENGSON",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "CAMBA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "201-615-3284",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NJ",
            "license": "MA66349",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7805004",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paterson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.