Johnathan Tejada

Primary specialty

DriverTaxonomy code 172A00000X

License

T230433840100 Issued in FL

Practice address

3242 Riverside Station Blvd # 3242
Secaucus, NJ 07094-4432

Phone

(786) 238-1437

NPI assigned

Jan 10, 2023

Last updated

Jan 10, 2023By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Ampfi Medical LLC

  dba Smart Choice NJ

  • Non-emergency Medical Transport (VAN)
  • Secaucus, NJ
  • NPI 1346954740
  NPD Authorized official

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

{
    "created_epoch": "1673308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1194439570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3242 RIVERSIDE STATION BLVD # 3242",
            "city": "SECAUCUS",
            "state": "NJ",
            "postal_code": "070944432",
            "telephone_number": "786-238-1437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3242 RIVERSIDE STATION BLVD # 3242",
            "city": "SECAUCUS",
            "state": "NJ",
            "postal_code": "070944432",
            "telephone_number": "786-238-1437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEJADA",
        "first_name": "JOHNATHAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-10",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "FL",
            "license": "T230433840100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Straight and Narrow, Inc
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• Surgery New Jersey LLC
• Ira D Tanzer, M.D.
• Resha Thakur, PHARMD
• The Center for Gastroenterology and Liver Disorders LLC
• Totalmd PC
• Phong Tran
• Tri-County Radiology P.a.

• Driver in Secaucus, NJ
• Providers in Secaucus, NJ by specialty
• Driver in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.