FAITH AYUMI TIERNEY (PA-C) – Physician Assistant, NPI 1679979587

FAITH AYUMI TIERNEY (PA-C) is a healthcare provider. based in Fort lee, New Jersey. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 017802 (NY). The NPI Number for FAITH AYUMI TIERNEY (PA-C) is 1679979587

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
FAITH AYUMI TIERNEY (PA-C)
NPI
1679979587
Phone
(206) 850-0696
Address
1590 ANDERSON AVE APT 6D
Enumeration Date
5 November 2014
Last Update Date
11 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2126392000
Graduation Year
2014 (12 years ago)
PAC ID
8325495484
Group Practice PAC ID
3971494683
Professional Enrollment ID
I20231110000702
Address ID
NY100656007NE1275XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:11State licenses:1Digital endpointsOther names

13,243 PHYSICIAN ASSISTANT in NY

Provider Addresses for FAITH AYUMI TIERNEY (PA-C)

  • 1590 ANDERSON AVE APT 6D

    FORT LEE, NJ 070242708

    Phone: (206) 850-0696

    Type: Mailing

  • 17907 69TH AVE

    FRESH MEADOWS, NY 113653519

    Phone: (206) 850-0696

    Type: Mailing

  • 177 FORT WASHINGTON AVE

    NEW YORK, NY 100323733

    Phone: (212) 305-2500

    Type: Location

  • 177 Fort Washington Ave

    New York, NY 100323733

    Phone: (212) 305-2500

    Type: Location

  • 1275 YORK AVE

    NEW YORK, NY 100656007

    Phone: (212) 639-2000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $47.

Total Amount is formed as General ($47) + Research ($0) + Ownership ($0) = $47.

Last reported payment date: 2023-09-12 • Largest payer in this snapshot: Ipsen Biopharmaceuticals, Inc ($25).

Total Amount

$47

General + Research + Ownership

Payments

2

Total payment records

General Amount

$47

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-12

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-11-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231110000702IPhysician AssistantNYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 07024)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3971494683View full group profile
NameSpecialtyState
Nurse PractitionerNY
-NY
Diagnostic RadiologyNY
-NY
Interventional Radiology, Diagnostic RadiologyNY
Diagnostic RadiologyNC
-NJ
Diagnostic RadiologyNY
Diagnostic RadiologyNY
Nuclear MedicineNY

Reviews

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Frequently asked questions

Is there an official ID for FAITH AYUMI TIERNEY (PA-C) in U.S. healthcare records?
The official identifier for FAITH AYUMI TIERNEY (PA-C) is NPI 1679979587.
Active or inactive — what applies to FAITH AYUMI TIERNEY (PA-C)?
You should see FAITH AYUMI TIERNEY (PA-C) as active in CMS-hosted NPPES data.
What expertise is attributed to FAITH AYUMI TIERNEY (PA-C)?
FAITH AYUMI TIERNEY (PA-C)'s specialty line reads Physician Assistant. Clinical services aligned with this taxonomy classification.
Where in New Jersey is FAITH AYUMI TIERNEY (PA-C) registered?
Use Fort Lee, New Jersey as the headline location for FAITH AYUMI TIERNEY (PA-C) here.
Does FAITH AYUMI TIERNEY (PA-C) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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