NPIMap

Individual provider Active NPI

Ernest S Terranova, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • South Salem, NY
National Provider Identifier
1093746448
Registry record updated Aug 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
144202 Issued in NY
Practice address
1 Harbor PL
South Salem, NY 10590-1505
Phone
(914) 666-7722
NPI assigned
Jul 5, 2006
Last updated
Aug 6, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 144202 NY Primary

Addresses

Primary practice location

1 Harbor PL
South Salem, NY 10590-1505

Mailing address

1 Harbor PL
South Salem, NY 10590-1505
Phone (914) 666-7722

Other identifiers 2

IdentifierTypeStateIssuer
00887238MedicaidNY
113098544OtherNYTAX IDENTIFICATION NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061014000047 NY Practitioner - Internal MedicinePractitioner - Endocrinology 8729084702 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Endocrinology
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1280 Albany Post Rd
Croton on Hudson, NY 10520-1570
Phone (914) 271-5151

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
144202NYMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ernest S Terranova MD PC Endocrinology, Diabetes & Metabolism CurrentSince Aug 15, 2006 Accepting new patients
Waterview Acquisition I LLC Past Accepting new patients
Sky View Rehabilitation Health Care Past Accepting new patients
Salem Acquisition I LLC Past Accepting new patients
Putnam Operation Acquisition I LLC Past Accepting new patients

Locations

1280 Albany Post Rd
Croton on Hudson, NY 10520
Phone (914) 271-5151

41 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 238-0190

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375747200000",
    "number": "1093746448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HARBOR PL",
            "city": "SOUTH SALEM",
            "state": "NY",
            "postal_code": "105901505",
            "telephone_number": "914-666-7722",
            "fax_number": "914-244-8859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HARBOR PL",
            "city": "SOUTH SALEM",
            "state": "NY",
            "postal_code": "105901505",
            "telephone_number": "914-666-7722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRANOVA",
        "first_name": "ERNEST",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2013-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NY",
            "license": "144202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00887238",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENTIFICATION NUMBER",
            "identifier": "113098544",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Salem, NY

Sources for this page

Verify at the official NPI Registry.