Individual provider Active NPI

Terrance Seepersaud

  • Certified Registered Nurse Anesthetist
  • Brooklyn, NY
National Provider Identifier
1134498959
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
530758 Issued in NY
Practice address
150 55TH Street
Room 403
Brooklyn, NY 11225-2559
Phone
(718) 630-6324
NPI assigned
Dec 22, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X 530758-1 NY
Certified Registered Nurse Anesthetist 367500000X 530758 NY Primary

Addresses

Primary practice location

150 55TH Street
Room 403
Brooklyn, NY 11225-2559

Mailing address

17414 108TH Ave
Jamaica, NY 11433-2526
Phone (917) 957-3106

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130412000118 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 3173769346 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
State University of New York Downstate Medical Center, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Triborough Gi PLLCGroup PAC ID 2466761531, 15 clinicians
MK Anesthesia Services PLLCGroup PAC ID 1557758307, 17 clinicians

Practice addresses (Care Compare)

1672 Sheepshead Bay Rd
Brooklyn, NY 11235-3803
Phone (718) 332-0600

3594 E Tremont Ave
Suite 100
Bronx, NY 10465-2032
Phone (718) 332-0600

749 61St St
Brooklyn, NY 11220-5162
Phone (201) 767-4040

761 55TH St
FL 2
Brooklyn, NY 11220-3210
Phone (917) 880-0023

822 57TH St
Apt 1
Brooklyn, NY 11220-5196
Phone (917) 880-0023

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
530758NYMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
University Hospital at Stony Brook Current Accepting new patients
Digestive Diseases Diagnostic & Treatment Center LLC CurrentSince Jan 1, 2015 Accepting new patients
Triborough Gi PLLC CurrentSince Aug 11, 2020 Accepting new patients
Triborough Gi PLLC CurrentSince Aug 11, 2020 Accepting new patients
MK Anesthesia Services PLLC CurrentSince May 23, 2025 Accepting new patients

Locations

749 61st St
Brooklyn, NY 11220
Phone (201) 767-4040

1672 Sheepshead Bay Rd
Brooklyn, NY 11235
Phone (718) 795-2734

3808 Union St
Flushing, NY 11354
Phone (718) 362-6298

2043 Richmond Ave
Staten Island, NY 10314
Phone (718) 710-4906

Interoperability endpoints

  • Direct secure messaging: terrance.seepersaud@direct.stonybrookmedicine.edu

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1324512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1134498959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17414 108TH AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114332526",
            "telephone_number": "917-957-3106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 55TH STREET",
            "address_2": "ROOM 403",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112252559",
            "telephone_number": "718-630-6324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEEPERSAUD",
        "first_name": "TERRANCE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-12-22",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "NY",
            "license": "530758-1",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NY",
            "license": "530758",
            "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 Jan 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.