Active NPI
Paulo Cesar Tenorio, MA, LAC
- Counselor
- Passaic, NJ
National Provider Identifier
1689132938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 37AC00409000
- Practice address
- 111 Lexington Ave
Passaic, NJ 07055-5246 - Phone
- (973) 471-8006
- NPI assigned
- Mar 6, 2019
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 37AC00409000 | NJ | Primary |
Addresses
Primary practice location
111 Lexington Ave
Passaic, NJ 07055-5246
Mailing address
370 Park St Apt 324
Hackensack, NJ 07601-4322
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37AC00409000 | NJ | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health Clinic of Passaic Inc | Past | Accepting new patients |
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/mhcp/r4/
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.
-
- Community/Behavioral Health Agency
- Clifton, NJ
- NPI 1619009701
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551830400000",
"number": "1689132938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "370 PARK ST APT 324",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076014322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 LEXINGTON AVE",
"city": "PASSAIC",
"state": "NJ",
"postal_code": "070555246",
"telephone_number": "973-471-8006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TENORIO",
"first_name": "PAULO",
"middle_name": "CESAR",
"credential": "MA, LAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-06",
"last_updated": "2019-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NJ",
"license": "37AC00409000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Passaic, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.