Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

21st Avenue Primary Care PA

Organization Family Medicine Physician · NPI 1609163716

21st Avenue Primary Care PA is a Family Medicine Physician in Paterson, New Jersey. Licensed in New Jersey. Registered with an NPI since 2011.

Licensed in
NJ
In the registry since
2011
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

534 21st Ave
Paterson, NJ 07513-1337
Phone: (973) 925-5400
Fax: (973) 925-5403
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 25MA05907400 (NJ)

Record details

NPI number1609163716
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Hector Leon-Wong — Owner/Medical Director · (973) 925-5400
NPI enumeratedJuly 9, 2011
Last updated in NPPESJuly 9, 2011
Mailing address534 21st Ave, Paterson, Paterson, NJ 07513-1337

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