Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. FREDERICK R. TIENCKEN, RPA-C
Active Sole ProprietorMR. FREDERICK R. TIENCKEN, RPA-C is a Medical Physician Assistant healthcare provider located in RIDGEWOOD, New Jersey. NPI 1396053617 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · RIDGEWOOD, NJ
Registration Details
- NPI Number
- 1396053617
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 21, 2010 (15.864352779235 yrs)
- Last Updated
- Aug 21, 2025
- Licenses
-
014271 (NY)25MP00264400 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1200 E RIDGEWOOD AVE STE 200RIDGEWOOD, NJ, 074503937Browse NJ providers · Browse ZIP 07450
- Phone
- 2013278600
- Fax
- 2013278225
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
- Additional Specialty
- Medical Physician Assistant
Other Medical Physician Assistant Providers in RIDGEWOOD, NJ
| Name | Credential | NPI |
|---|---|---|
| MRS. FLORIANA RUDNER | RPA-C | 1376877878 |
| MR. ANTHONY PACIONE | PA-C | 1861742579 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.