MR. FREDERICK R. TIENCKEN RPA-C
NPI 1396053617
Physician Assistant - Medical in Ridgewood, NJ

NPI Status: Active since September 21, 2010

Contact Information

1200 E RIDGEWOOD AVE STE 200
RIDGEWOOD, NJ
ZIP 07450
Phone: (201) 327-8600
Fax: (201) 327-8225

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  • Individual
  • Male
  • Years of Experience 17
  • Physician Assistant
  • Medical
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About FREDERICK TIENCKEN

This page provides the complete NPI Profile along with additional information for Frederick Tiencken, a primary care provider established in Ridgewood, New Jersey with a medical specialization in Physician Assistant, focusing in medical and more than 17 years of experience. The healthcare provider is registered in the NPI registry with number 1396053617 assigned on September 2010. The practitioner's primary taxonomy code is 363AM0700X with license number 25MP00264400 (NJ). The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1396053617
Provider Name
MR. FREDERICK R. TIENCKEN RPA-C
Gender
Male
Entity Type
Individual
Location Address
1200 E RIDGEWOOD AVE STE 200 RIDGEWOOD, NJ 07450
Location Phone
(201) 327-8600
Location Fax
(201) 327-8225
Mailing Address
1200 E RIDGEWOOD AVE STE 200 RIDGEWOOD, NJ 07450
Mailing Phone
(201) 327-8600
Mailing Fax
(201) 327-8225
Medical School Name
OTHER
Graduation Year
2010
Is Sole Proprietor?
Yes
Enumeration Date
09-21-2010
Last Update Date
08-21-2025
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A primary care provider (PCP) like Frederick Tiencken sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Medical

Taxonomy Code
363AM0700X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
25MP00264400
License State
NJ

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363AM0700XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant
Medical

014271 (NY)

Medicare Participation & PECOS Enrollment Status

Frederick Tiencken is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Frederick Tiencken is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 9335364504

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20140701001467

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Established patient office or other outpatient visit, 10-19 minutes

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

This service was performed 47 times for 40 patients

New patient office or other outpatient visit, 45-59 minutes

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

This service was performed 33 times for 33 patients

Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment

This procedure involves removing part of a spine bone to alleviate pressure on the lower spinal cord and/or nerves. It targets a single segment of the spine, improving mobility and reducing pain. It's a common treatment for conditions like herniated discs or spinal stenosis.

This service was performed 11 times for 11 patients

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Frederick Tiencken is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
COOPERMAN BARNABAS MEDICAL CENTER94 OLD SHORT HILLS ROAD
LIVINGSTON, NJ 07039
(973) 322-5000Acute Care Hospitals

Reviews for MR. FREDERICK R. TIENCKEN RPA-C

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1396053617, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
6
Unchanged
Pos 5
0
Doubled → 0
Pos 6
5
Unchanged
Pos 7
3
Doubled → 6
Pos 8
6
Unchanged
Pos 9
1
Doubled → 2
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 0 → 0 3 → 6 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 1 + 8 + 6 + 0 + 5 + 6 + 6 + 2 + 24 = 63

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1396053617.

Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Physician Assistant
1200 E RIDGEWOOD AVE STE 200
RIDGEWOOD, NJ 07450
Physician Assistant
1200 E RIDGEWOOD AVE STE 200
RIDGEWOOD, NJ 07450
Neurological Surgery
1200 E RIDGEWOOD AVE STE 200
RIDGEWOOD, NJ 07450
Neurological Surgery
1200 E RIDGEWOOD AVE STE 200
RIDGEWOOD, NJ 07450
Physical Therapist
1200 E RIDGEWOOD AVE STE 200
RIDGEWOOD, NJ 07450
Nurse Practitioner (Family)
1200 E RIDGEWOOD AVE STE 200
RIDGEWOOD, NJ 07450
Neurological Surgery
1200 E RIDGEWOOD AVE STE 200
RIDGEWOOD, NJ 07450
Psychiatry & Neurology (Neurology)
1200 E RIDGEWOOD AVE STE 200
RIDGEWOOD, NJ 07450

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396053617, enumerated as an "individual" on September 21, 2010.

The provider is located at 1200 E RIDGEWOOD AVE STE 200 RIDGEWOOD, NJ 07450 and the phone number is (201) 327-8600.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.

Frederick Tiencken is affiliated with: COOPERMAN BARNABAS MEDICAL CENTER.