Teresella Gondolo Medical PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

194211 Issued in NY

Legal business name

TERESELLA GONDOLO MEDICAL PC

Practice address

3717 91St St
Jackson Heights, NY 11372-7927

Phone

(718) 803-2400

Fax

(718) 803-2436

NPI assigned

Jun 5, 2009

Organization subpart

No

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

Authorized official

Name

Teresella Gondolo, MD

Title

MD/Owner

Phone

(718) 803-2400

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1244160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786492800000",
    "number": "1043446941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1393",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280011",
            "telephone_number": "718-803-2400",
            "fax_number": "718-803-2436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3717 91ST ST",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113727927",
            "telephone_number": "718-803-2400",
            "fax_number": "718-803-2436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERESELLA GONDOLO MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-05",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A",
        "authorized_official_last_name": "GONDOLO",
        "authorized_official_first_name": "TERESELLA",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "718-803-2400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "194211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iwona Tecza, PTA
• Osvaldo Tejeiro, M.D.
• David Tenembaum, MD
• Nina Teng, OD
• Choden Tenzin, LMSW
• Romelynn Tewarson, NURSE PRACTITIONER
• Diana Teytel, LMSW
• Lieu Knipping Thai
• Prasad Varghese Thaivalappil
• Gabrielle J Thaler, LMSW

• Specialist in Jackson Heights, NY
• Providers in Jackson Heights, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.