Organization Active NPI

Tessie T Paredes Physician PC

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1053554352
Registry record updated Mar 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
178945 Issued in NY
Legal business name
TESSIE T PAREDES PHYSICIAN PC
Practice address
318 Stanhope St
Brooklyn, NY 11237-4362
Phone
(718) 497-8400
Fax
(718) 497-2233
NPI assigned
Apr 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2013

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

Authorized official

Name
Dr. Tessie Timtiman Paredes, MD
Title
Physician/Owner
Phone
(718) 497-8400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 178945 NY Primary

Addresses

Primary practice location

318 Stanhope St
Brooklyn, NY 11237-4362

Mailing address

318 Stanhope St
Brooklyn, NY 11237-4362
Phone (718) 497-8400

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1239840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364256000000",
    "number": "1053554352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 STANHOPE ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112374362",
            "telephone_number": "718-497-8400",
            "fax_number": "718-497-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 STANHOPE ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112374362",
            "telephone_number": "718-497-8400",
            "fax_number": "718-497-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TESSIE T PAREDES PHYSICIAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-16",
        "last_updated": "2013-03-26",
        "status": "A",
        "authorized_official_last_name": "PAREDES",
        "authorized_official_first_name": "TESSIE",
        "authorized_official_middle_name": "TIMTIMAN",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "718-497-8400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "178945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; 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.