Individual provider Active NPI

Tenzin Kunsal Nelung

  • Adult Health Nurse Practitioner
  • Fair Lawn, NJ
National Provider Identifier
1285483412
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NJ01142200 Issued in NJ
Practice address
12-15 Saddle River Rd
Fair Lawn, NJ 07410-5808
Phone
(201) 797-9522
NPI assigned
May 20, 2024
Last updated
May 20, 2024By the provider in NPPES
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 26NJ01142200 NJ Primary
Gerontology Nurse Practitioner 363LG0600X 26NJ01142200 NJ

Addresses

Primary practice location

12-15 Saddle River Rd
Fair Lawn, NJ 07410-5808

Mailing address

12-15 Saddle River Rd
Fair Lawn, NJ 07410-5808

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240604001056 NJ Practitioner - Nurse Practitioner 2264974401 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ01142200NJMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alignmed Medical Group NJ, PC CurrentSince Dec 3, 2024 Accepting new patients
GPS Physician Group of New Jersey, PC CurrentSince Apr 24, 2024 Accepting new patients
Geps Physician Group of New Jersey PC Adult Health CurrentSince Apr 24, 2024 Accepting new patients

Locations

115 Sunset Rd
Burlington Township, NJ 08016
Phone (609) 387-1091

12-15 Saddle River Rd
Fair Lawn, NJ 07410
Phone (201) 797-9522

1361 Route 72 W
Manahawkin, NJ 08050
Phone (609) 978-0600

249 High St
Newton, NJ 07860
Phone (973) 383-5600

843 Wilbur Ave
Phillipsburg, NJ 08865
Phone (908) 454-2627

1351 Old Freehold Rd
Toms River, NJ 08753
Phone (732) 240-0090

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1716163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1285483412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12-15 SADDLE RIVER RD",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074105808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12-15 SADDLE RIVER RD",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074105808",
            "telephone_number": "201-797-9522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELUNG",
        "first_name": "TENZIN",
        "middle_name": "KUNSAL",
        "sole_proprietor": "NO",
        "sex": "U",
        "enumeration_date": "2024-05-20",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ01142200",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NJ01142200",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Lawn, NJ

Sources for this page

Verify at the official NPI Registry.