Individual provider Active NPI

Lawrence Mark Tesser, DPM

  • Podiatrist
  • Merrick, NY
National Provider Identifier
1053393868
Registry record updated Oct 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
005175 Issued in NY
Practice address
1800 Merrick Rd
Merrick, NY 11566-4530
Phone
(516) 377-7701
Fax
(516) 377-7705
NPI assigned
Nov 17, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 005175 NY Primary
Podiatrist 213E00000X 0002526 FL

Addresses

Primary practice location

1800 Merrick Rd
Merrick, NY 11566-4530

Mailing address

1800 Merrick Rd
Merrick, NY 11566-4530
Phone (516) 377-7701

Other identifiers 1

IdentifierTypeStateIssuer
01531604MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050608001200 NY Practitioner - Podiatry 0042253171 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1800 Merrick Rd
Merrick, NY 11566-4530
Phone (516) 377-7701

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue185
Removal of nail tissue1397

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0002526FLMDPodiatrist
005175NYMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lawrence Tesser DPM PLLC Podiatrist CurrentSince Mar 15, 2004 Accepting new patients
Advanced Plastic Surgery of Long Island, PLLC PastSince May 1, 2006 Accepting new patients
Richard M Seldes M D P C Past Accepting new patients

Locations

1800 Merrick Rd
Merrick, NY 11566
Phone (516) 377-2738

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256169600000",
    "number": "1053393868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 MERRICK RD",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115664530",
            "telephone_number": "516-377-7701",
            "fax_number": "516-377-7705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 MERRICK RD",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115664530",
            "telephone_number": "516-377-7701",
            "fax_number": "516-377-7705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TESSER",
        "first_name": "LAWRENCE",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-17",
        "last_updated": "2009-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "005175",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "0002526",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01531604",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrick, NY

Sources for this page

Verify at the official NPI Registry.