21st Avenue Primary Care PA
NPI 1609163716ActiveOrganization· Family Medicine· Paterson, NJ
Family Medicine in Paterson, New Jersey, registered in NPPES in July 2011. The authorized official on file is Hector Jacob Leon-Wong, MD, Owner/Medical Director.
Overview
| NPI | 1609163716 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 9, 2011 |
| Last updated in NPPES | Jul 9, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 25MA05907400 | 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 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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