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

Mr. Frederick R. Tiencken, RPA-C

Individual provider Medical Physician Assistant · NPI 1396053617

Mr. Frederick R. Tiencken, RPA-C is a Physician Assistant in Ridgewood, New Jersey. Qualified in 2010, 16 years ago. Practices with Neurosurgical Associates of New Jersey, PC, a 43-clinician group and accepts Medicare assignment. Licensed in New Jersey and New York.

Years since qualifying
16
Licensed in
NJ, NY
In the registry since
2010
Specialties on file
2

Practice location Address checks out

1200 E Ridgewood Ave Ste 200
Ridgewood, NJ 07450-3937
Phone: (201) 327-8600
Fax: (201) 327-8225
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 25MP00264400 (NJ)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 014271 (NY)

Record details

NPI number1396053617
Entity typeIndividual (Type 1)
GenderMale
Credentials RPA-C
Sole proprietorYes
NPI enumeratedSeptember 21, 2010
Last updated in NPPESAugust 21, 2025
Certification dateAugust 21, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Neurosurgical Associates Of New Jersey, P.C. — 43 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Ridgewood