OrganizationActive
21st Avenue Primary Care PA
NPI 1609163716 · Family Medicine Physician · Paterson, NJ
Provider details
- NPI number
- 1609163716
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Hector Leon-Wong, Owner/Medical Director(973) 925-5400
- License
- 25MA05907400 (NJ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
534 21st Ave
Paterson, NJ 07513-1337
Phone: (973) 925-5400
Fax: (973) 925-5403
Approximate (ZIP-level) locationGet directions
Mailing address
534 21st Ave
Paterson, NJ 07513-1337
Registry dates
- Enumerated
- 2011-07-09
- Last updated
- 2011-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.