Maria Tenebruso, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

25MP00101200 Issued in NJ

Practice address

9 Post Rd Ste M5
Oakland, NJ 07436-1615

Phone

(201) 327-0220

Fax

(201) 327-4871

NPI assigned

Mar 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Asp Surgical LLCGroup PAC ID 1153691449, 2 clinicians

JL Surgical LLCGroup PAC ID 4688652829, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Valley Hospital Hospital, Paramus, NJ, CCN 310012
• Chilton Medical Center Hospital, Pompton Plains, NJ, CCN 310017

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
• FHIR API: https://fhir4.healow.com/fhir/r4/JJIGAA
• Direct secure messaging: mtenebruso190293@ahs.direct-ci.com
• FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Asp Surgical LLC

  • Surgery Physician
  • Oakland, NJ
  • NPI 1184152944
  Medicare reassignment Care Compare group
• JL Surgical LLC

  • Surgery Physician
  • Oakland, NJ
  • NPI 1649443292
  Medicare reassignment Care Compare group
• Columbia Doctors of New Jersey, P. C.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Ridgewood, NJ
  • NPI 1144459991
  Medicare reassignment NPD
• New Jersey Endovascular Therapeutics PC

  • Vascular Surgery Physician
  • Ridgewood, NJ
  • NPI 1467655662
  Medicare reassignment
• Gastroenterology Associates of New Jersey, LLC

  • Gastroenterology Physician
  • Woodland Park, NJ
  • NPI 1497932271
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ahs Hospital Corp.

  • General Acute Care Hospital
  • Pompton Plains, NJ
  • NPI 1811994809
  Care Compare affiliation
• The Valley Hospital Inc.

  • General Acute Care Hospital
  • Paramus, NJ
  • NPI 1013912633
  Care Compare affiliation

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1184683088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "728 LAFAYETTE ST",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076522345",
            "telephone_number": "201-445-3336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 POST RD STE M5",
            "city": "OAKLAND",
            "state": "NJ",
            "postal_code": "074361615",
            "telephone_number": "201-327-0220",
            "fax_number": "201-327-4871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENEBRUSO",
        "first_name": "MARIA",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-20",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00101200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Summit Medical Group PA
• Summit Medical Group PA
• Jakub Syniec, COTA/L
• Shahrzad Tajtaraghi, DDS
• Uttama Taneja, DO
• Joy E Tenga, LPC
• The Arc of Bergen and Passaic Counties, Inc.
• The Hill Performance Center, LLC
• Joyce Thomas, FNP-C
• Total Sono, LLC

• Physician Assistant in Oakland, NJ
• Providers in Oakland, NJ by specialty
• Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.