Active NPI
Paul J Tesoriero, MD
- Orthopaedic Hand Surgery Physician
- New York, NY
National Provider Identifier
1053936708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Hand Surgery Physician
- License
- 343108
- Practice address
- 622 W 168TH St
New York, NY 10032-3720 - Phone
- (718) 475-6074
- NPI assigned
- Jun 9, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Hand Surgery Physician | 207XS0106X | 343108 | NY | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
622 W 168TH St
New York, NY 10032-3720
Mailing address
115 Eileen Way Ste 1
Syosset, NY 11791-5323
Phone (516) 795-3033
Other practice location 1
5500 Merrick Rd
Massapequa, NY 11758-6231
Phone (516) 795-3033
Other practice location 2
115 Eileen Way Ste 1
Syosset, NY 11791-5323
Phone (516) 795-3033
Other practice location 3
2103 Deer Park Ave
Deer Park, NY 11729-1317
Phone (516) 795-3033
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785974400000",
"number": "1053936708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 EILEEN WAY STE 1",
"city": "SYOSSET",
"state": "NY",
"postal_code": "117915323",
"telephone_number": "516-795-3033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "622 W 168TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100323720",
"telephone_number": "718-475-6074"
}
],
"practiceLocations": [
{
"address_1": "5500 Merrick Rd",
"address_purpose": "LOCATION",
"city": "Massapequa",
"state": "NY",
"postal_code": "117586231",
"country_code": "US",
"telephone_number": "516-795-3033",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "115 Eileen Way Ste 1",
"address_purpose": "LOCATION",
"city": "Syosset",
"state": "NY",
"postal_code": "117915323",
"country_code": "US",
"telephone_number": "516-795-3033",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2103 Deer Park Ave",
"address_purpose": "LOCATION",
"city": "Deer Park",
"state": "NY",
"postal_code": "117291317",
"country_code": "US",
"telephone_number": "516-795-3033",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TESORIERO",
"first_name": "PAUL",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-06-09",
"last_updated": "2026-08-06",
"certification_date": "2026-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0106X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": "NY",
"license": "343108",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.