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

Tierra Medical LLC

Organization Internal Medicine Physician · NPI 1477161172

Tierra Medical LLC is an Internal Medicine Physician in Passaic, New Jersey. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

831 Main Ave
Passaic, NJ 07055-8400
Phone: (862) 249-1333
Fax: (844) 892-1555
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Pain Medicine Physician Taxonomy 208VP0000X

Record details

NPI number1477161172
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Fridman — Owner · (215) 847-2929
NPI enumeratedJuly 19, 2020
Last updated in NPPESSeptember 14, 2020
Certification dateSeptember 14, 2020
Mailing address831 Main Ave, Passaic, NJ 07055-8400

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