Individual provider Active NPI

Claire Louise Terez

  • Surgery Physician
  • Somerset, NJ
National Provider Identifier
1003340878
Registry record updated Jul 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
25MA11364400 Issued in NJ
Practice address
81 Veronica Ave Ste 205
Somerset, NJ 08873-3491
Phone
(732) 640-5316
NPI assigned
Apr 18, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Surgery Physician 208600000X 25MA11364400 NJ Primary

Addresses

Primary practice location

81 Veronica Ave Ste 205
Somerset, NJ 08873-3491

Mailing address

50 Gillespie Rd
Bloomfield, NJ 07003-3878
Phone (908) 705-4916

Other practice location 1

185 S Orange Ave Rm G532
Newark, NJ 07103-2757
Phone (973) 972-5682

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230405002585 NJ Practitioner - General Surgery 3678948635 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Rutgers New Jersey Medical School, 2017
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Advanced Surgical Radiology LLCGroup PAC ID 8426279852, 9 clinicians

Practice addresses (Care Compare)

81 Veronica Ave
Suite 205
Somerset, NJ 08873-3491
Phone (732) 640-5327

Hospital & facility affiliations

  • Community Medical Center Hospital, Toms River, NJ, CCN 310041
  • Robert Wood Johnson University Hospital Hospital, New Brunswick, NJ, CCN 310038

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1492473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1003340878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 GILLESPIE RD",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070033878",
            "telephone_number": "908-705-4916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 VERONICA AVE STE 205",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088733491",
            "telephone_number": "732-640-5316"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "185 S Orange Ave Rm G532",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NJ",
            "postal_code": "071032757",
            "country_code": "US",
            "telephone_number": "973-972-5682",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEREZ",
        "first_name": "CLAIRE",
        "middle_name": "LOUISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-18",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MA11364400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, NJ

Sources for this page

Verify at the official NPI Registry.