Medical & Surgical Family Practice of Passaic P A
NPI 1457482614ActiveOrganization· General Practice· Passaic, NJ
General Practice in Passaic, New Jersey, registered in NPPES in March 2007. The authorized official on file is Carlos Tello, M.D., Medical Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1457482614 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 8, 2007 |
| Last updated in NPPES | Mar 6, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | 25MA04703100 | NJ |
| Surgery | 208600000X | 25MA04703100 | NJ |
| Surgery, Vascular Surgery | 2086S0129X | 25MA04703100 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NJ) |
|---|
Other General Practice providers in Passaic
- 1629363627
- 1417089335
- 1770997744
- 1811971229