| Center For Med Care, Pc | |
|
916-922 Main Ave Passaic NJ 07055-8544 | |
| (973) 773-0334 | |
| (973) 773-0336 |
| Full Name | Center For Med Care, Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 916-922 Main Ave, Passaic, New Jersey |
| Authorized Official Name and Position | Carlos Aleberto Tejeda (PRESIDENT) |
| Authorized Official Contact | 9733651377 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Med Care, Pc 293 Passaic St Passaic NJ 07055-5803 Ph: (973) 365-1377 | Center For Med Care, Pc 916-922 Main Ave Passaic NJ 07055-8544 Ph: (973) 773-0334 |
| NPI Number | 1215350269 |
|---|---|
| Provider Enumeration Date | 01/28/2014 |
| Last Update Date | 01/28/2014 |
| Medicare PECOS PAC ID | 6800019357 |
|---|---|
| Medicare Enrollment ID | O20140602000955 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215350269 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 25MA08456900 (New Jersey) | Primary |
| Provider Name | Carlos A Tejeda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851342703 PECOS PAC ID: 9830157627 Enrollment ID: I20081015000220 |
| Provider Name | Carlos G Miranda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376879031 PECOS PAC ID: 5890824429 Enrollment ID: I20111111000101 |
| Provider Name | Angela Fernandez Santiago |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942664511 PECOS PAC ID: 9931437456 Enrollment ID: I20190822000049 |
| Provider Name | Gehan L Morel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982156832 PECOS PAC ID: 1951738079 Enrollment ID: I20200228002124 |
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