MEDICAL & SURGICAL FAMILY PRACTICE OF PASSAIC P A
NPI 1457482614
General Practice in Passaic, NJ

Q: What is Medical & Surgical Family Practice Of Passaic P A's specialty?

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

Active since March 08, 2007

121 PROSPECT ST, PASSAIC, NJ 07055(973) 777-3006(973) 777-5587 Get Directions Write a Review

NPPES record last updated: March 6, 2017. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jan 30, 2017, Jan 12, 2017 (2 updates tracked since 2017).

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About Medical & Surgical Family Practice Of Passaic P A NPPES

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

MEDICAL & SURGICAL FAMILY PRACTICE OF PASSAIC P A (NPI 1457482614) is a healthcare organization registered as a general practice in Passaic, New Jersey and active in the NPI registry since March 2007. The organization lists Carlos Tello, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1457482614

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameMEDICAL & SURGICAL FAMILY PRACTICE OF PASSAIC P A

Location Address121 PROSPECT STPassaic, NJ 07055-4926

Mailing AddressPo Box 2007Paterson, NJ 07509-2007 · (973) 777-3006 · Fax (973) 777-5587

Phone(973) 777-3006

Fax(973) 777-5587

Organization SubpartNo

Authorized OfficialCarlos TelloMedical Director · (973) 777-3006

Enumeration DateMarch 8, 2007

Last NPPES UpdateMarch 6, 20172 updates tracked since enumeration

✔ NPI 1457482614 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)

121 PROSPECT ST, Passaic, NJ 07055

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Other Identifiers 2

Medicare PIN613844NJ

Medicaid6688608NJ

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

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.

YNES D ACCILIEN APN

Nurse Practitioner (Family)

121 PROSPECT ST
PASSAIC, NJ 07055

Passaic County (973) 777-3006

CARMEN M GARMENDIA

Internal Medicine

121 PROSPECT ST
PASSAIC, NJ 07055

Passaic County (973) 777-3006

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 Passaic P A's NPI number?

The NPI number for Medical & Surgical Family Practice Of Passaic P A is 1457482614. It was assigned to this organization in the NPPES registry on March 8, 2007.

Where is Medical & Surgical Family Practice Of Passaic P A located?

Medical & Surgical Family Practice Of Passaic P A is located at 121 Prospect St, Passaic, NJ 07055. The listed phone number is (973) 777-3006.

What is Medical & Surgical Family Practice Of Passaic P A's specialty?

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

When was this NPI record last updated?

The NPPES record for Medical & Surgical Family Practice Of Passaic P A was last updated on March 6, 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.