Active NPI
Alvaro Tellez, M.D.
- Health Maintenance Organization
- Paterson, NJ
National Provider Identifier
1265518278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- License
- 25MAO2310000
- Practice address
- 466 Park Ave
Paterson, NJ 07504-1806 - Phone
- (973) 345-1414
- NPI assigned
- Oct 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Maintenance Organization | 302R00000X | 25MAO2310000 | NJ | Primary |
Addresses
Primary practice location
466 Park Ave
Paterson, NJ 07504-1806
Mailing address
466 Park Ave
Paterson, NJ 07504-1806
Phone (973) 345-1414
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1825101 | Medicaid | NJ |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MAO2310000 | NJ | MD | Health Maintenance Organization |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224806400000",
"number": "1265518278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "466 PARK AVE",
"city": "PATERSON",
"state": "NJ",
"postal_code": "075041806",
"telephone_number": "973-345-1414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "466 PARK AVE",
"city": "PATERSON",
"state": "NJ",
"postal_code": "075041806",
"telephone_number": "973-345-1414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TELLEZ",
"first_name": "ALVARO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-31",
"last_updated": "2008-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": "NJ",
"license": "25MAO2310000",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1825101",
"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 Oct 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.