Paulino Segundo Tejada

Primary specialty

Diabetes Educator Registered NurseTaxonomy code 163WD0400X

License

RN746224 Issued in PA

Practice address

118 Saint John St
Allentown, PA 18103-3431

Phone

(610) 481-0444

NPI assigned

Nov 14, 2007

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 names 1

• Paulino S Tejada Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1457532889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 SAINT JOHN ST",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181033431",
            "telephone_number": "610-481-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 SAINT JOHN ST",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181033431",
            "telephone_number": "610-481-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEJADA",
        "first_name": "PAULINO",
        "middle_name": "SEGUNDO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-14",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "PA",
            "license": "RN746224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAULINO",
            "last_name": "TEJADA",
            "middle_name": "S",
            "credential": "RN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Philesha Teape
• Angela Teberio
• Steven Joseph Teders, PHD
• Erin Alexis Teeple, M.D.
• Adam Jay Teichman, DPM
• Telcare, Inc.
• Lorraina Jean Telepo, MRP
• Suzanne Templer
• Tender Grace Home Care LLC
• Ryan Tenzer, MD

• Diabetes Educator Registered Nurse in Allentown, PA
• Providers in Allentown, PA by specialty
• Diabetes Educator Registered Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.

Verify at the official NPI Registry.