Larry Tetsoti MD LLC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

214196 Issued in NY

Legal business name

LARRY TETSOTI MD LLC

Practice address

23 Brighton 11TH St Ste 601
Brooklyn, NY 11235-5308

Phone

(718) 336-6166

NPI assigned

Mar 6, 2009

Organization subpart

No

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

Authorized official

Name

Larry Tetsoti, MDNPI 1437104361

Title

President

Phone

(917) 443-3603

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 3

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

• Larry Tetsoti, M.D.

  • Urology Physician
  • Brooklyn, NY
  • NPI 1437104361
  Medicare reassignment Care Compare group NPD Authorized official
• Libo Qiu, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Long Island City, NY
  • NPI 1811917370
  Medicare reassignment Care Compare group NPD
• John P Marshall, M.D.

  • Emergency Medicine Physician
  • Brooklyn, NY
  • NPI 1477569366
  NPD (past)

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

{
    "created_epoch": "1236297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701993600000",
    "number": "1104067941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 BRIGHTON 11TH ST STE 601",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112355308",
            "telephone_number": "718-336-6166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 BRIGHTON 11TH ST STE 601",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112355308",
            "telephone_number": "718-336-6166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARRY TETSOTI MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-06",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A",
        "authorized_official_last_name": "TETSOTI",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-443-3603",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "NY",
            "license": "214196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naomie Larose
• Sarrah Larose
• Patricia Larosiliere, DMD
• Sterline Larosiliere
• Larry F. Griffith
• Lisa Larsen
• Emma Larson, LCSW
• Kara Larson, OTR/L
• Katelyn Claire Larson, MD
• Lucia Larson, LMSW

• Urology Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Urology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.