CENTER FOR ADULT MEDICINE AND PREVENTIVE CARE, PC
NPI 1073779658
Clinic/Center in Passaic, NJ

Q: What is Center For Adult Medicine And Preventive Care, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since August 02, 2008CLIA 31D1089010 · Waiver

916-922 MAIN AVE, SUITE 1A, PASSAIC, NJ 07055(973) 773-0334(973) 773-0336 Get Directions Write a Review

NPPES record last updated: September 15, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 15, 2016, Aug 24, 2016 (2 updates tracked since 2016).

On this page

About Center For Adult Medicine And Preventive Care, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CENTER FOR ADULT MEDICINE AND PREVENTIVE CARE, PC (NPI 1073779658) is a healthcare organization registered as a clinic/center in Passaic, New Jersey and active in the NPI registry since August 2008. The organization holds a CLIA Waiver certificate valid through September 8, 2028 and lists Carlos Alberto Tejeda, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1073779658

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameCENTER FOR ADULT MEDICINE AND PREVENTIVE CARE, PC

Location Address916-922 MAIN AVE, SUITE 1APassaic, NJ 07055-8544

Mailing Address916-922 Main Ave, Suite 1aPassaic, NJ 07055-8544 · (973) 773-0334 · Fax (973) 773-0336

Phone(973) 773-0334

Fax(973) 773-0336

Organization SubpartNo

Authorized OfficialCarlos Alberto TejedaMedical Director · (718) 704-8983

Enumeration DateAugust 2, 2008

Last NPPES UpdateSeptember 15, 20162 updates tracked since enumeration

✔ NPI 1073779658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

916-922 MAIN AVE, Passaic, NJ 07055

Open in Google Maps ↗

Other Identifiers 2

Other135720NJ · Medicare Ptan

Medicare PIN134252ZC79NJ

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Center For Adult Medicine And Preventive Care, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Center For Adult Medicine And Preventive Care, PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Carlos Tejeda, M.D.

Internal Medicine

NPI 1851342703

916 MAIN AVE SUITE 1-A
Passaic, NJ 07055

(973) 773-0334

✔ PECOS✔ Accepts MedicareSame address

Luz Meneses, APN

Nurse Practitioner

NPI 1518143403

595 COUNTY AVE CURA/BUILDING #8
Secaucus, NJ 07094

(201) 392-9662

✔ PECOS7.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D1089010

Center For Adult Medicine And Preventive Care · Passaic, NJ

Active · expires Sep 8, 2028

CLIA Number31D1089010

Laboratory TypePhysician Office

Certificate Effective DateSeptember 9, 2026

Certificate Expiration DateSeptember 8, 2028

Laboratory DirectorCarlos A. Tejeda, MD

Laboratory Phone(973) 773-0334

Laboratory LocationCenter For Adult Medicine And Preventive Care916-922 Main Avenue, Suite 1A, Passaic, NJ 07055

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Center For Adult Medicine And Preventive Care, PC's NPI number?

The NPI number for Center For Adult Medicine And Preventive Care, PC is 1073779658. It was assigned to this organization in the NPPES registry on August 2, 2008.

Where is Center For Adult Medicine And Preventive Care, PC located?

Center For Adult Medicine And Preventive Care, PC is located at 916-922 Main Ave Suite 1A, Passaic, NJ 07055. The listed phone number is (973) 773-0334.

What is Center For Adult Medicine And Preventive Care, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Center For Adult Medicine And Preventive Care, PC enrolled in Medicare?

Yes. Center For Adult Medicine And Preventive Care, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Center For Adult Medicine And Preventive Care, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Center For Adult Medicine And Preventive Care, PC, in Internal Medicine and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Center For Adult Medicine And Preventive Care, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D1089010) is associated with this NPI, valid through September 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Center For Adult Medicine And Preventive Care, PC was last updated on September 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.