Active NPI
Tengson Medical Office, LLC
- Primary Care Clinic/Center
- Paterson, NJ
National Provider Identifier
1154627511
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- MA66349
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Roger Camba Tengson Jr., MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7805004 | Medicaid | NJ |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D2078559 | Tengson Medical Office, LLC | Certificate of waiver | May 29, 2028 |
National Provider Directory
National Provider DirectoryInteroperability endpoints
- 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.
-
- Pediatrics Physician
- Paterson, NJ
- NPI 1326094921
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.