Active NPI
Brian J Tepper, MPS, ATR-BC, LCAT
- Specialist
- New York, NY
National Provider Identifier
1093962664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 000025
- Practice address
- 156 5TH Ave Ste 916
New York, NY 10010-7760 - Phone
- (917) 751-7184
- NPI assigned
- Aug 26, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 000025 | NY | Primary |
Addresses
Primary practice location
156 5TH Ave Ste 916
New York, NY 10010-7760
Mailing address
300 Franklin Tpke
Ridgewood, NJ 07450-1932
Phone (917) 751-7184
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000025 | NY | MD | Psychoanalyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219708800000",
"number": "1093962664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 FRANKLIN TPKE",
"city": "RIDGEWOOD",
"state": "NJ",
"postal_code": "074501932",
"telephone_number": "917-751-7184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "156 5TH AVE STE 916",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100107760",
"telephone_number": "917-751-7184"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEPPER",
"first_name": "BRIAN",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "MPS, ATR-BC, LCAT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-08-26",
"last_updated": "2008-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "000025",
"primary": true
}
],
"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 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.