Medical & Surgical Family Practice of Passaic P a
NPI 1457482614 · General Practice Physician · Passaic, NJ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Medical & Surgical Family Practice of Passaic P a is a General Practice Physician organization in Passaic, NJ (NPI 1457482614).
Provider details
- NPI number
- 1457482614
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Carlos Tello, Medical Director(973) 777-3006
- License
- 25MA04703100 (NJ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-03-08
- Last updated
- 2017-03-06
Frequently asked questions
- What is Medical & Surgical Family Practice of Passaic P a's NPI number?
- Medical & Surgical Family Practice of Passaic P a's National Provider Identifier (NPI) is 1457482614, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Medical & Surgical Family Practice of Passaic P a?
- Medical & Surgical Family Practice of Passaic P a is classified in the NPPES registry as General Practice Physician (Allopathic & Osteopathic Physicians).
- Where is Medical & Surgical Family Practice of Passaic P a located?
- Medical & Surgical Family Practice of Passaic P a's practice location on file with NPPES is 121 Prospect St, Passaic, NJ 07055-4926.
- What is Medical & Surgical Family Practice of Passaic P a's phone number?
- The practice phone number listed in the NPPES registry for Medical & Surgical Family Practice of Passaic P a is (973) 777-3006.
- Does Medical & Surgical Family Practice of Passaic P a accept Medicare?
- Medical & Surgical Family Practice of Passaic P a is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Medical & Surgical Family Practice of Passaic P a?
- The authorized official listed on Medical & Surgical Family Practice of Passaic P a's NPPES record is Carlos Tello, Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Medical & Surgical Family Practice of Passaic P a's NPI active?
- Yes — Medical & Surgical Family Practice of Passaic P a's NPI (1457482614) is active in the NPPES registry as of the last update on 2017-03-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.