Edwin P Teehan


Address: 510 Hamburg Tpke, Suite 205, Wayne, NJ 07470-2033

Edwin P Teehan (NPI# 1366491532, PAC ID# 3173513272) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.

Physician Overview

Nation Provider ID (NPI) 1366491532
PAC ID by PECOS 3173513272
Professional Enrollment ID I20040512000958
Full Name Edwin P Teehan
Address 510 Hamburg Tpke
Suite 205
Wayne
NJ 07470-2033
Gender M
Credential MD
Medical School UMDNJ-ROBERT WOOD JOHNSON MEDICAL SCHOOL
Graduation Year 1984
Primary Specialty GENERAL SURGERY
Secondary Specialties VASCULAR SURGERY
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
310006 ST MARY'S GENERAL HOSPITAL
310019 ST JOSEPH'S HOSPITAL AND MEDICAL CENTER
310017 CHILTON MEDICAL CENTER

Other Locations

Address Phone Organization
510 Hamburg Tpke, Suite 205, Wayne, NJ 07470-2033

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 100%
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 100%
MIPS_EC_131_overall Pain Assessment and Follow-Up 100%
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 100%

Organization Information

Office Location

Street Address 510 HAMBURG TPKE
SUITE 205
City WAYNE
State NJ
Zip 07470-2033

Physicians in the same location

Name Specialty Organization Address
Michael H. Leonardo Internal Medicine North Haledon Medical, PC 510 Hamburg Tpke, Wayne, NJ 07470-2025
Chris Obiarinze Jr. Podiatry Podiatry Center of New Jersey LLC 510 Hamburg Tpke, Suite 108, Wayne, NJ 07470-2033
Anthony Barravecchio Family Medicine North Haledon Medical, PC 510 Hamburg Tpke, Wayne, NJ 07470-2025
Victor A Abdy Internal Medicine 510 Hamburg Tpke, Suite 201, Wayne, NJ 07470-2033
Cyrus R Vosough Physical Medicine and Rehabilitation 510 Hamburg Tpke, Suite 205, Wayne, NJ 07470-2033
Nafeesa Siddiqui Psychiatry 510 Hamburg Tpke, Suite E106, Wayne, NJ 07470-2025
Magdalena Marcinek Podiatry Podiatry Center of New Jersey LLC 510 Hamburg Tpke, Suite 108, Wayne, NJ 07470-2033
Ellen Garfing Nurse Practitioner North Haledon Medical, PC 510 Hamburg Tpke, Wayne, NJ 07470-2025
Ayman E Eraiba Internal Medicine 510 Hamburg Tpke, Suite 208, Wayne, NJ 07470-2033
Craig N Eichner Internal Medicine North Haledon Medical, PC 510 Hamburg Tpke, Wayne, NJ 07470-2025
Find all physicians in the same address

Physicians in the same zip code

Name Specialty Organization Address
Svetlana Grintsvayg Clinical Social Worker 1680 Route 23 N 310, Psychotherapy for All Ages, Wayne, NJ 07470
Paul T Staunton Podiatry 11 Windsor Pl, Wayne, NJ 07470-1923
Greg Steven Trentacosta Chiropractic 1565 Ratzer Rd, Wayne, NJ 07470-1930
Susanna N Ho Occupational Therapy 504 Hamburg Tpke, Suite 205, Wayne, NJ 07470-2011
Lisa A Dragone Nurse Practitioner Integrated Hospital Medicine LLC 820 Hamburg Tpke, Wayne, NJ 07470-2019
Cherrielyn B Escono-quiambao Nurse Practitioner Integrated Hospital Medicine LLC 820 Hamburg Tpke, Wayne, NJ 07470-2019
Beatrice Carrillo Nurse Practitioner Integrated Hospital Medicine LLC 820 Hamburg Tpke, Wayne, NJ 07470-2019
Jeanette Biller Family Medicine North Haledon Medical, PC 510 Hamburg Tpke, Wayne, NJ 07470-2025
Christopher K Ho Internal Medicine North Haledon Medical, PC 510 Hamburg Tpke, Wayne, NJ 07470-2025
Sanjay C Raval Nurse Practitioner North Haledon Medical, PC 510 Hamburg Tpke, Wayne, NJ 07470-2025
Find all physicians in zip 07470

Competitor

Search similar physicians

City WAYNE
Zip Code 07470
Specialty GENERAL SURGERY
City + Specialty WAYNE + GENERAL SURGERY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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