Individual provider Active NPI

John P Tedeschi, MD

Family Medicine Physician
Robbinsville, NJ

National Provider Identifier

1891873741

Registry record updated Aug 9, 2019

On this page

Key facts
NPPES NPI Registry
Medicare participation
National Provider Directory
Organizations & group practices1
NPI Registry JSON
Other providers in Robbinsville, NJ
Sources for this page

Key facts

NPPES NPI Registry

Primary specialty: Family Medicine PhysicianTaxonomy code 207Q00000X
License: 25MA046518 Issued in NJ
Practice address: 54 Robbinsville Allentown Rd
One Medical Plaza
Robbinsville, NJ 08691-1625
Phone: (609) 259-8440
Fax: (609) 259-8747
NPI assigned: Nov 1, 2006
Sex: Male
Sole proprietor: No

NPPES NPI Registry

Updated by the provider on Aug 9, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 12

Specialty (taxonomy)	Code	License	State	Primary
Family Medicine Physician	207Q00000X	DR.0028309	CO
Family Medicine Physician	207Q00000X	MD176662	OR
Family Medicine Physician	207Q00000X	MD60705506	WA
Family Medicine Physician	207Q00000X	64044	MN
Family Medicine Physician	207Q00000X	18579	AZ
Family Medicine Physician	207Q00000X	036146826	IL
Family Medicine Physician	207Q00000X	181-320	WI
Family Medicine Physician	207Q00000X	MD-45442	IA
Family Medicine Physician	207Q00000X	MD22463	ME
Family Medicine Physician	207Q00000X	04-41220	KS
Family Medicine Physician	207Q00000X	11031	SD
Family Medicine Physician	207Q00000X	25MA046518	NJ	Primary

Addresses

Primary practice location

54 Robbinsville Allentown Rd
One Medical Plaza
Robbinsville, NJ 08691-1625

Mailing address

54 Robbinsville Allentown Rd
One Medical Plaza
Robbinsville, NJ 08691-1625
Phone (609) 259-8440

Other identifiers 15

Identifier	Type	Issuer
5295697	Other	AETNA NON-HMO
P2882324	Other	OXFORD
1467366	Other	INDEPENDENCE BCBS PERSON
1467369	Other	INDEPENDENCE BCBS PERSON
481289872	Other	QUALCARE MEWA AFFILIATED
2126997840	Other	BEECHSTREET
3109163	Other	AETNA GROUP
481289872	Other	MAGNACARE PPO
2151572000	Other	AMERIHEALTH KEYSTONE PIN
2795780	Other	AETNA PROVIDER
481289872	Other	HEALTHCARE PAYERS COALITI
P00085468	Other	MEDICARE RAILROAD
K2968	Other	HORIZON BCBS HMO
2151571002	Other	AMERIHEALTH KEYSTONE GROU
481289872	Other	HORIZON BCBS PPO

Other names 1

John Tedeschi Other name

Medicare participation

Medicare enrollment files

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): Enrolled
Credentials: Doctor of Medicine

State licenses

License	State	Type	Specialty
18579	AZ	MD	Family Medicine Physician
DR.0028309	CO	MD	Family Medicine Physician
MD-45442	IA	MD	Family Medicine Physician
036146826	IL	MD	Family Medicine Physician
04-41220	KS	MD	Family Medicine Physician
MD22463	ME	MD	Family Medicine Physician
64044	MN	MD	Family Medicine Physician
25MA046518	NJ	MD	Family Medicine Physician
MD176662	OR	MD	Family Medicine Physician
11031	SD	MD	Family Medicine Physician
MD60705506	WA	MD	Family Medicine Physician
181-320	WI	MD	Family Medicine Physician

Practice roles

Organization	Specialty	Status	New patients
DRH Medical Group		Past	Accepting new patients

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.

DRH Medical Group
- Urgent Care Clinic/Center
- Oakland, CA
- NPI 1790560225
NPD (past)

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565308800000",
    "number": "1891873741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 ROBBINSVILLE ALLENTOWN RD",
            "address_2": "ONE MEDICAL PLAZA",
            "city": "ROBBINSVILLE",
            "state": "NJ",
            "postal_code": "086911625",
            "telephone_number": "609-259-8440",
            "fax_number": "609-259-8747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 ROBBINSVILLE ALLENTOWN RD",
            "address_2": "ONE MEDICAL PLAZA",
            "city": "ROBBINSVILLE",
            "state": "NJ",
            "postal_code": "086911625",
            "telephone_number": "609-259-8440",
            "fax_number": "609-259-8747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEDESCHI",
        "first_name": "JOHN",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2019-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0028309",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD176662",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD60705506",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "64044",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "18579",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036146826",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "181-320",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "MD-45442",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "MD22463",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04-41220",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SD",
            "license": "11031",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA046518",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA NON-HMO",
            "identifier": "5295697",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2882324",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BCBS PERSON",
            "identifier": "1467366",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BCBS PERSON",
            "identifier": "1467369",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUALCARE MEWA AFFILIATED",
            "identifier": "481289872",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEECHSTREET",
            "identifier": "2126997840",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA GROUP",
            "identifier": "3109163",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGNACARE PPO",
            "identifier": "481289872",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH KEYSTONE PIN",
            "identifier": "2151572000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER",
            "identifier": "2795780",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHCARE PAYERS COALITI",
            "identifier": "481289872",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00085468",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON BCBS HMO",
            "identifier": "K2968",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH KEYSTONE GROU",
            "identifier": "2151571002",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON BCBS PPO",
            "identifier": "481289872",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHN",
            "last_name": "TEDESCHI",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Robbinsville, NJ

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.

Verify at the official NPI Registry.