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EDWIN P TEEHAN MD PC
NPI 1285680611
Specialist in Wayne, NJ

Active since May 26, 2006
510 HAMBURG TPKE, SUITE 205, WAYNE, NJ 07470(973) 720-8333(973) 720-0408 Get Directions Write a Review

NPPES record last updated: October 19, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Edwin P Teehan Md Pc NPPES

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

EDWIN P TEEHAN MD PC (NPI 1285680611) is a healthcare organization registered as a specialist in Wayne, New Jersey and active in the NPI registry since May 2006. The organization lists Edwin P Teehan, Owner, as its authorized official.

NPPES Registry Identity

NPI1285680611
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameEDWIN P TEEHAN MD PC
Location Address510 HAMBURG TPKE, SUITE 205Wayne, NJ 07470-2025
Mailing AddressPo Box 4015Clifton, NJ 07012-0415 · (973) 720-8333 · Fax (973) 720-0408
Phone(973) 720-8333
Fax(973) 720-0408
Organization SubpartNo
Authorized OfficialEdwin P TeehanOwner · (973) 720-8333
Enumeration DateMay 26, 2006
Last NPPES UpdateOctober 19, 2011
✔ NPI 1285680611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NJ · MA56236
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
510 HAMBURG TPKE, Wayne, NJ 07470
Open in Google Maps ↗

Other Identifiers 3

Medicare UPING25210NJ
Medicaid6947204NJ
Medicare ID-Type Unspecified858347NJ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Edwin P Teehan Md Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew JerseyEnrollment IDO20080828000468Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Edwin P Teehan MD PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Edwin Teehan, MD
General Surgery
NPI 1366491532
510 HAMBURG TPKE SUITE 205
Wayne, NJ 07470
(973) 720-8333
✔ PECOS✔ Accepts Medicare0.6 mi

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

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 Edwin P Teehan MD PC's NPI number?

The NPI number for Edwin P Teehan MD PC is 1285680611. It was assigned to this organization in the NPPES registry on May 26, 2006.

Where is Edwin P Teehan MD PC located?

Edwin P Teehan MD PC is located at 510 Hamburg Tpke Suite 205, Wayne, NJ 07470. The listed phone number is (973) 720-8333.

What is Edwin P Teehan MD PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Edwin P Teehan MD PC enrolled in Medicare?

Yes. Edwin P Teehan MD PC is registered in the Medicare PECOS enrollment system.

When is Edwin P Teehan MD PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New Jersey, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Edwin P Teehan MD PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Surgery) reassigns their Medicare billing to Edwin P Teehan MD PC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Edwin P Teehan MD PC was last updated on October 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.