Active NPI
Terrance Seepersaud
- Certified Registered Nurse Anesthetist
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 530758
- 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
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 |
|---|---|---|---|---|
| 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 530758 | NY | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Hospital at Stony Brook | Current | Accepting new patients | |
| Digestive Diseases Diagnostic & Treatment Center LLC | Current | Accepting new patients | |
| Triborough Gi PLLC | Current | Accepting new patients | |
| Triborough Gi PLLC | Current | Accepting new patients | |
| MK Anesthesia Services PLLC | Current | 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
- 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.
-
- Anesthesiology Physician
- Brooklyn, NY
- NPI 1922751254
-
- Gastroenterology Physician
- Brooklyn, NY
- NPI 1255711339
-
- Ambulatory Surgical Clinic/Center
- Brooklyn, NY
- NPI 1376774208
-
- Clinical Medical Laboratory
- Brooklyn, NY
- NPI 1932820339
-
- General Acute Care Hospital
- Stony Brook, NY
- NPI 1972523348
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.