Roger C Tengson Jr., M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

25MA06634900 Issued in NJ

Practice address

32 Hine St Ste 210
Paterson, NJ 07503-2955

Phone

(973) 742-0046

Fax

(973) 742-5824

NPI assigned

May 25, 2006

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

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: roger.tengson.1@2925.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/2925/brand/1/csg/1/fhir/r4

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

• Emergency Physician Services of New Jersey,Professional Association

  • Emergency Medicine Physician
  • Mount Holly, NJ
  • NPI 1831539568
  Medicare reassignment NPD
• Tengson Medical Office, LLC

  • Primary Care Clinic/Center
  • Paterson, NJ
  • NPI 1154627511
  NPD (past) Authorized official
• Burgos and Burgos MD PA

  • Internal Medicine Physician
  • Paterson, NJ
  • NPI 1891023578

  Pediatrics

  NPD (past)
• St Josephs University Medical Center Inc.

  • Community/Retail Pharmacy
  • Paterson, NJ
  • NPI 1477304541
  NPD (past)
• St Josephs University Medical Center Inc.

  • General Acute Care Hospital
  • Paterson, NJ
  • NPI 1669462420
  NPD (past)

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347926400000",
    "number": "1326094921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 HINE ST STE 210",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075032955",
            "telephone_number": "973-742-0046",
            "fax_number": "973-742-5824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 HINE ST STE 210",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075032955",
            "telephone_number": "973-742-0046",
            "fax_number": "973-742-5824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENGSON",
        "first_name": "ROGER",
        "middle_name": "C",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2012-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA06634900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7805004",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arys Massiel Tejeda, FNP-BC
• Usha Tejwaney, PHARM.D
• Alvaro Tellez, M.D.
• Carlos A Tello, MD PA
• Tengson Medical Office, LLC
• Victor Paul Terranova, D.M.D., M.S., PH.D
• Deborah Terrone, NP
• Ullas Thannickal
• The Amazing Help Inc
• The Challenge Program of NJ

• Pediatrics Physician in Paterson, NJ
• Providers in Paterson, NJ by specialty
• Pediatrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.