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

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: August 02, 2026.

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

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, 2026 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
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

Other Identifiers 2

Other135720NJ · Medicare Ptan
Medicare PIN134252ZC79NJ

Accepted Insurance

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, 2026
CLIA Number31D1089010
Laboratory TypePhysician Office
Certificate Effective DateSeptember 9, 2024
Certificate Expiration DateSeptember 8, 2026
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.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Primary Care)
916-922 MAIN AVE
PASSAIC, NJ 07055
Physician Assistant
916-922 MAIN AVE
PASSAIC, NJ 07055

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.

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, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Center For Adult Medicine And Preventive Care, PC accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Center For Adult Medicine And Preventive Care, PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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 9 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.