Active NPI
Thomas D Praino, PA
- Physician Assistant
- Teaneck, NJ
National Provider Identifier
1174530828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 25MP00153200
- Practice address
- 1 Degraw Avenue
North Jersey Orthopaedic Specialists
Teaneck, NJ 07666 - Phone
- (201) 353-9000
- Fax
- (201) 530-0003
- NPI assigned
- Aug 2, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 25MP00153200 | NJ | Primary |
| Physician Assistant | 363A00000X | 010725 | NY |
Addresses
Primary practice location
1 Degraw Avenue
North Jersey Orthopaedic Specialists
Teaneck, NJ 07666
Mailing address
1 Degraw Avenue
Njos
Teaneck, NJ 07666
Phone (201) 353-9000
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010725 | NY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174530828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 DEGRAW AVENUE",
"address_2": "NJOS",
"city": "TEANECK",
"state": "NJ",
"postal_code": "07666",
"telephone_number": "201-353-9000",
"fax_number": "201-530-0003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 DEGRAW AVENUE",
"address_2": "NORTH JERSEY ORTHOPAEDIC SPECIALISTS",
"city": "TEANECK",
"state": "NJ",
"postal_code": "07666",
"telephone_number": "201-353-9000",
"fax_number": "201-530-0003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRAINO",
"first_name": "THOMAS",
"middle_name": "D",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NJ",
"license": "25MP00153200",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "010725",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Teaneck, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.