MEDICAL SURGICAL FAMILY PRACTICE OF PATERSON
NPI 1376674572
General Practice in Paterson, NJ

Active since March 08, 2007
998 MADISON AVE, PATERSON, NJ 07501(973) 345-7113(973) 278-5395 Get Directions Write a Review

NPPES record last updated: January 12, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Medical Surgical Family Practice Of Paterson NPPES

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

MEDICAL SURGICAL FAMILY PRACTICE OF PATERSON (NPI 1376674572) is a healthcare organization registered as a general practice in Paterson, New Jersey and active in the NPI registry since March 2007. The organization lists Carlos Tello, Medical Irector, as its authorized official.

NPPES Registry Identity

NPI1376674572
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameMEDICAL SURGICAL FAMILY PRACTICE OF PATERSON
Location Address998 MADISON AVEPaterson, NJ 07501-3737
Mailing AddressPo Box 1859Paterson, NJ 07509-1859 · (973) 345-7113 · Fax (973) 278-5395
Fax(973) 278-5395
Organization SubpartNo
Authorized OfficialCarlos TelloMedical Irector · (973) 345-7113
Enumeration DateMarch 8, 2007
Last NPPES UpdateJanuary 12, 2017
✔ NPI 1376674572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in NJ · 25MA04703100
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedSurgeryTaxonomy 208600000X · License 25MA04703100 (NJ)
Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X · License 25MA04703100 (NJ)
998 MADISON AVE, Paterson, NJ 07501

Other Identifiers 2

Medicaid6688900NJ
Medicare PIN613829NJ

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Medical Surgical Family Practice Of Paterson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Medical Surgical Family Practice Of Paterson, which bills Medicare for the services this clinician delivers.

Clinician (1)

General Surgery
NPI 1518978063
356 TOTOWA AVE
Paterson, NJ 07502
(973) 904-0100
✔ PECOS✔ Accepts Medicare1.6 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 Medical Surgical Family Practice Of Paterson's NPI number?

The NPI number for Medical Surgical Family Practice Of Paterson is 1376674572. It was assigned to this organization in the NPPES registry on March 8, 2007.

Where is Medical Surgical Family Practice Of Paterson located?

Medical Surgical Family Practice Of Paterson is located at 998 Madison Ave, Paterson, NJ 07501. The listed phone number is (973) 345-7113.

What is Medical Surgical Family Practice Of Paterson's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Medical Surgical Family Practice Of Paterson enrolled in Medicare?

Yes. Medical Surgical Family Practice Of Paterson is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Medical Surgical Family Practice Of Paterson?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Surgery) reassigns their Medicare billing to Medical Surgical Family Practice Of Paterson. 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 Medical Surgical Family Practice Of Paterson was last updated on January 12, 2017. 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.