Andrei Terentiev, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MA60755 Issued in NJ

Practice address

103 River Rd
Edgewater, NJ 07020-1016

Phone

(201) 945-4288

Fax

(201) 945-8690

NPI assigned

Jun 26, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Internal Medicine

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Excelcare Medical Associates PAGroup PAC ID 4284647868, 200 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amedisys Home Health Home health agency, Hackensack, NJ, CCN 317047
• Holy Name Medical Center Hospital, Teaneck, NJ, CCN 310008
• Englewood Hospital and Medical Center Hospital, Englewood, NJ, CCN 310045
• Complete Care at Inglemoor, LLC Nursing home, Englewood, NJ, CCN 315349
• Family of Caring Healthcare at Tenafly, LLC Nursing home, Tenafly, NJ, CCN 315164

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Excelcare Medical Associates, PA

  • Internal Medicine Physician
  • Teaneck, NJ
  • NPI 1992736300
  Medicare reassignment Care Compare group NPD

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

• Amedisys New Jersey LLC

  • Home Health Agency
  • Hackensack, NJ
  • NPI 1952402737
  Care Compare affiliation
• Complete Care at Inglemoor LLC

  • Skilled Nursing Facility
  • Englewood, NJ
  • NPI 1922689843

  Nursing home

  Care Compare affiliation
• Englewood Hospital and Medical Center

  • General Acute Care Hospital
  • Englewood, NJ
  • NPI 1083612881
  Care Compare affiliation
• Family of Caring Healthcare at Tenafly, LLC

  • Skilled Nursing Facility
  • Tenafly, NJ
  • NPI 1124656814

  Nursing home

  Care Compare affiliation
• Holy Name Hospital Regional Dialysis Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Teaneck, NJ
  • NPI 1043389349

  Hospital

  Care Compare affiliation
• Holy Name Medical Center Inc.

  • General Acute Care Hospital
  • Teaneck, NJ
  • NPI 1104859131
  Care Compare affiliation

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318982400000",
    "number": "1023045358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 RIVER RD",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "070201016",
            "telephone_number": "201-945-4288",
            "fax_number": "201-945-8690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 RIVER RD",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "070201016",
            "telephone_number": "201-945-4288",
            "fax_number": "201-945-8690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERENTIEV",
        "first_name": "ANDREI",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2011-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA60755",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6345701",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• The Psych Center LLC
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• Titan Health Partners, LLC
• Basiliso Paterno Tiu, DMD

• Internal Medicine Physician in Edgewater, NJ
• Providers in Edgewater, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.