- Practice location
- 3242 Riverside Station Blvd # 3242, Secaucus, NJ 07094-4432
- Phone
- 786-238-1437
- Fax
- —
- Last updated
- January 10, 2023
Johnathan Tejada is a Driver based in Secaucus, NJ. Johnathan Tejada practices in Secaucus, NJ. The NPI Number for Johnathan Tejada is 1194439570 and holds a License No. T230433840100 (FL). The current practice location address for Johnathan Tejada is 3242 Riverside Station Blvd # 3242, Secaucus, NJ 07094-4432 and can be reached out via phone at 786-238-1437.
Provider Profile Details
- NPI Number
- 1194439570
- Provider Name
- Johnathan Tejada
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 3242 Riverside Station Blvd # 3242, Secaucus, NJ 07094-4432
- Phone Number
- 786-238-1437
- Primary Taxonomy
- Driver · 172A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- January 10, 2023
- Last Update Date
- January 10, 2023
- Certification Date
- January 10, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 3242 Riverside Station Blvd # 3242
Secaucus, NJ 07094-4432 - City
- Secaucus
- State
- New Jersey
- Zip
- 07094-4432
- Phone Number
- 786-238-1437
Provider Business Mailing Address Details
- Address
- 3242 Riverside Station Blvd # 3242
Secaucus, NJ 07094-4432 - City
- Secaucus
- State
- NJ
- Zip
- 07094-4432
- Phone Number
- 786-238-1437
License Information
- License Number
- T230433840100
- License State
- FL
- Taxonomy
- Driver · 172A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Drivers near Secaucus, NJ
View all Drivers in Secaucus →Frequently Asked Questions
What is the NPI number of Johnathan Tejada?
The NPI number of Johnathan Tejada is 1194439570. It was assigned on January 10, 2023 and is currently active in the NPPES registry.
What is the specialty of Johnathan Tejada?
Johnathan Tejada is registered under the primary taxonomy Driver (code 172A00000X), licensed in FL under license number T230433840100.
Where does Johnathan Tejada practice?
The practice location is 3242 Riverside Station Blvd # 3242, Secaucus, NJ 07094-4432. The office can be reached at 786-238-1437 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1194439570 directly on the NPPES registry website.