Active NPI
Center for Med Care, PC
- Primary Care Clinic/Center
- Passaic, NJ
National Provider Identifier
1215350269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 25MA08456900
- Legal business name
- CENTER FOR MED CARE, PC
- Practice address
- 916-922 Main Ave
Passaic, NJ 07055-8544 - Phone
- (973) 773-0334
- Fax
- (973) 773-0336
- NPI assigned
- Jan 28, 2014
- Last updated
- Jan 28, 2014
- 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. Carlos Aleberto Tejeda, MD
- Title
- President
- Phone
- (973) 365-1377
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 25MA08456900 | NJ | Primary |
Addresses
Primary practice location
916-922 Main Ave
Passaic, NJ 07055-8544
Mailing address
293 Passaic St
Passaic, NJ 07055-5803
Phone (973) 365-1377
National Provider Directory
National Provider DirectoryLocations
916-922 Main Ave
Passaic, NJ 07055
Phone (973) 773-0334
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Passaic, NJ
- NPI 1851342703
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390867200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1390867200000",
"number": "1215350269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "293 PASSAIC ST",
"city": "PASSAIC",
"state": "NJ",
"postal_code": "070555803",
"telephone_number": "973-365-1377",
"fax_number": "973-365-1229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "916-922 MAIN AVE",
"city": "PASSAIC",
"state": "NJ",
"postal_code": "070558544",
"telephone_number": "973-773-0334",
"fax_number": "973-773-0336"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTER FOR MED CARE, PC",
"organizational_subpart": "NO",
"enumeration_date": "2014-01-28",
"last_updated": "2014-01-28",
"status": "A",
"authorized_official_last_name": "TEJEDA",
"authorized_official_first_name": "CARLOS",
"authorized_official_middle_name": "ALEBERTO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "973-365-1377",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "NJ",
"license": "25MA08456900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Passaic, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.