Fortunata T Tieng, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MA32875 Issued in NJ

Practice address

91 Main St
Paterson, NJ 07505-1026

Phone

(973) 278-3800

NPI assigned

Mar 31, 2006

Last updated

Aug 25, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440460800000",
    "number": "1386605921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 MAIN ST",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075051026",
            "telephone_number": "973-278-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 MAIN ST",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075051026",
            "telephone_number": "973-278-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIENG",
        "first_name": "FORTUNATA",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-31",
        "last_updated": "2015-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA32875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3253309",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alyce Thomas, RD
• Rasheeda S Thomas, LPC
• Shanasia Thomas
• Shannon Mary Thomas, DO
• Vincent Joseph Thomas, CRNA
• Lindsey Ann Tillack, M.D.
• Roberto Tirado, NP
• Bernadette Tivenan, M.A., CCC/A
• John P Tomasini I
• Tonys Pharmacy Inc.

• Internal Medicine Physician in Paterson, NJ
• Providers in Paterson, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.