MIKKO ANGELO TESALONA MD NPI 1811637093

NPI Information

  • NPI: 1811637093
  • Provider Name: MIKKO ANGELO TESALONA, MD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • Address: 95 N STATE RT 17 STE 105
    PARAMUS, NJ
    ZIP 07652
  • Phone: (201) 612-4737

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NPI Details

Mikko Angelo Tesalona, MD is a family medicine in Paramus, NJ. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Mikko Angelo Tesalona, MD NPI is 1811637093. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

95 N STATE RT 17 STE 105
PARAMUS, NJ
ZIP 07652-648
Phone: (201) 612-4737
Fax: (201) 689-6009

The enumeration date for this NPI number is 3/29/2022 and was last updated on 7/21/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine25MA12736500NEW JERSEYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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