MR. RICHARD V TEA (NPI# 1386673655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386673655 |
| Entity Type | Individual |
| Full Name | MR. RICHARD V TEA |
| Other Name | MR. VICHET TEA |
| Credential | PA-C |
| Practice Address |
350 Boulevard Ct Surgery Dept Passaic NJ 07055 |
| Mailing Address |
2 Continental Cir Totowa NJ 07512-2191 |
| Practice Telephone | 9733654567 |
| Mailing Telephone | 2017807582 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2011-11-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
25MP00056200 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
350 BOULEVARD CT SURGERY DEPT |
| City | PASSAIC |
| State | NJ |
| Zip Code | 07055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225031370 | Nena L Sy | Specialist | 350 Boulevard, Passaic, NJ 07055-2840 | 2005-05-23 |
| 1851908297 | Capital Anesthesia Solutions of New Jersey, LLC | Nurse Anesthetist, Certified Registered | 350 Boulevard, Passaic, NJ 07055-2840 | 2020-09-29 |
| 1144846130 | Jonathan Engelhardt | Student in an Organized Health Care Education/Training Program | 350 Boulevard, Passaic, NJ 07055-2840 | 2020-06-25 |
| 1053937045 | Abshan Malik | Student in an Organized Health Care Education/Training Program | 350 Boulevard, Passaic, NJ 07055-2840 | 2020-06-25 |
| 1154950053 | Jeffrey Alan Kantor | Student in an Organized Health Care Education/Training Program | 350 Boulevard, Passaic, NJ 07055-2840 | 2020-04-03 |
| 1831722586 | Prime Healthcare Services - St. Mary's Passaic LLC | Psychiatric Unit | 350 Boulevard, Passaic, NJ 07055-2840 | 2020-02-20 |
| 1609415231 | Jane Lee | Specialist/Technologist, Other | 350 Boulevard, Passaic, NJ 07055-2840 | 2019-12-30 |
| 1386208874 | Christopher Andrew Bergen | Student in an Organized Health Care Education/Training Program | 350 Boulevard, Passaic, NJ 07055-2840 | 2019-04-30 |
| 1962066076 | Kenny Luong | Student in an Organized Health Care Education/Training Program | 350 Boulevard, Passaic, NJ 07055-2840 | 2019-04-24 |
| 1336625425 | Inhospital Physicians Corp of New Jersey, PC | Internal Medicine | 350 Boulevard, Passaic, NJ 07055-2840 | 2018-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598300410 | Nilsy Munoz | Counselor | Revelation University Wellness Unit, 307 Monroe St #4, Passaic, NJ 07055 | 2019-11-14 |
| 1093206880 | Capitol Chiropractic and Rehabilitation | Clinic/Center | 15 Howe Ave., 2nd Floor, Passaic, NJ 07055 | 2018-05-29 |
| 1336665827 | 110 Van Houten LLC | Pharmacy | 110 Van Houten Ave, Passaic, NJ 07055 | 2017-08-17 |
| 1528584380 | Lpcnj, LLC | Community/Behavioral Health | 129 Prospect Street, 2nd Floor, Passaic, NJ 07055 | 2017-08-14 |
| 1255851572 | Chana Risa Twersky | Specialist | 164 Ascension St, Passaic, NJ 07055 | 2017-06-27 |
| 1144750241 | Chana Gittel Lemberger | Behavioral Analyst | 277 Pennington Ave, Passaic, NJ 07055 | 2017-06-13 |
| 1205377025 | Glendolin Grant | Massage Therapist | 105 Van Buren St, Passaic, NJ 07055 | 2017-03-13 |
| 1760924310 | Hadassah Selengut | Speech-Language Pathologist | 254 Pennington Ave, Passaic, NJ 07055 | 2016-11-14 |
| 1992180376 | Massiel Parra | Dentist | 625 Main Avenue, Passaic, NJ 07055 | 2015-07-27 |
| 1306240270 | Passaic Pediatrics II Pa | Specialist | 93 Market Street, Passaic, NJ 07055 | 2014-10-21 |
| Find all providers in zip 07055 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467062463 | Erica Josephine Lobuglio | Physician Assistant | 733 N Beers St Ste U3, Holmdel, NJ 07733-1513 | 2020-08-04 |
| 1407471493 | Angelice Grasso | Physician Assistant | 3 Holly Ln, Garfield, NJ 07026-3565 | 2020-06-15 |
| 1063036358 | Jaina Marie Lumkong | Physician Assistant | 905 Allwood Rd Ste 204, Clifton, NJ 07012-1946 | 2020-06-02 |
| 1740804384 | Allison Sy Tan | Physician Assistant | 10 Bahr Cir, Verona, NJ 07044-3200 | 2020-05-29 |
| 1114560851 | Brian Paul Leonhardt | Physician Assistant | 1113 Hospital Drive Professional Building East, Suite 100, Willingboro, NJ 08046 | 2019-10-25 |
| 1740830413 | Atara Hagler | Physician Assistant | 1500 Pleasant Valley Way Ste 101, West Orange, NJ 07052-2956 | 2019-09-16 |
| 1568943058 | Ekaterina M Rezvin | Physician Assistant | 80 Woodland Park Dr, Tenafly, NJ 07670-3028 | 2018-08-23 |
| 1225550353 | Kristen Cordiello | Physician Assistant | 1610 Route 88 Ste 203, Brick, NJ 08724-3018 | 2017-07-11 |
| 1710408232 | Angela Marie Freedman | Physician Assistant | 1 Riverview Plaza Multi Disciplinary Cancer Center, Red Bank, NJ 07701 | 2017-07-06 |
| 1063932259 | Matthew Gabriel | Physician Assistant | 25 Prospect Avernue, 2nd Floor, Hackensack, NJ 07601 | 2017-06-20 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.