Individual
MR. FREDERICK R. TIENCKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPA-C
Contact information
Practice address
1200 E RIDGEWOOD AVE STE 200, RIDGEWOOD, NJ 07450-3937
(201) 327-8600
(201) 327-8225
Mailing address
1200 E RIDGEWOOD AVE STE 200, RIDGEWOOD, NJ 07450-3937
(201) 327-8600
(201) 327-8225
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
014271
NY
363AM0700X
Medical Physician Assistant
Primary
25MP00264400
NJ
Other
Enumeration date
09/21/2010
Last updated
08/21/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us