Active NPI
Reina Tejada, CRCST
- Other Technician
- Union City, NJ
National Provider Identifier
1306266556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- License
- 125861
- Practice address
- 411 13TH Street
Union City, NJ 07087-4203 - Phone
- (201) 598-9173
- NPI assigned
- Apr 25, 2014
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Other Technician | 247200000X | 125861 | NJ | Primary |
Addresses
Primary practice location
411 13TH Street
Union City, NJ 07087-4203
Mailing address
411 13TH Street
Union City, NJ 07087-4203
Phone (201) 598-9173
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125861 | NJ | MD | Other Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398384000000",
"number": "1306266556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 13TH STREET",
"city": "UNION CITY",
"state": "NJ",
"postal_code": "070874203",
"telephone_number": "201-598-9173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 13TH STREET",
"city": "UNION CITY",
"state": "NJ",
"postal_code": "070874203",
"telephone_number": "201-598-9173"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEJADA",
"first_name": "REINA",
"credential": "CRCST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-04-25",
"last_updated": "2014-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "NJ",
"license": "125861",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Union City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.