Active NPI
Troy Patterson
- Case Manager/Care Coordinator
- Teaneck, NJ
National Provider Identifier
1457068967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 121 Cedar LN Ste 102
Teaneck, NJ 07666-4457 - Phone
- (833) 538-2735
- Fax
- (631) 201-3212
- NPI assigned
- Nov 3, 2022
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
121 Cedar LN Ste 102
Teaneck, NJ 07666-4457
Mailing address
99 Wall St # 1982
New York, NY 10005-4301
Phone (833) 538-2854
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04238033 | Medicaid | NY |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Letapel Corporation | Current | Accepting new patients |
Locations
121 Cedar Ln
Ste 102
Teaneck, NJ 07666
Phone (833) 538-2735
Organizations & group practices 1
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.
-
- Clinical Social Worker
- Teaneck, NJ
- NPI 1730881608
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667433600000",
"number": "1457068967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "99 WALL ST # 1982",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100054301",
"telephone_number": "833-538-2854",
"fax_number": "631-201-3212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 CEDAR LN STE 102",
"city": "TEANECK",
"state": "NJ",
"postal_code": "076664457",
"telephone_number": "833-538-2735",
"fax_number": "631-201-3212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTERSON",
"first_name": "TROY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-11-03",
"last_updated": "2022-11-03",
"certification_date": "2022-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04238033",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Teaneck, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.