Active NPI
Fe Teresa McCarthy, M.D.
- Specialist
- Latham, NY
National Provider Identifier
1174512743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 117422
- Practice address
- 951 Albany Shaker Rd
Latham, NY 12110-1409 - Phone
- (518) 220-2022
- Fax
- (518) 220-9263
- NPI assigned
- Oct 17, 2005
- Sex
- Female
- 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 | 117422 | NY | Primary |
Addresses
Primary practice location
951 Albany Shaker Rd
Latham, NY 12110-1409
Mailing address
951 Albany Shaker Rd
Latham, NY 12110-1409
Phone (518) 220-2022
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00040458801 | Other | NY | UNIVERA |
| 50E762 | Other | NY | EMPIRE B/C B/S |
| TMC231123 | Other | NY | BLUE SHIELD CENTRAL NY |
| 000416181001 | Other | NY | BLUE SHIELD NENY |
| 10001326 | Other | NY | CDPHP |
| 1308176 | Other | NY | UNITED HEALTHCARE |
| 5356307 | Other | NY | AETNA |
| DC4198 | Other | NY | RAILROAD MEDICARE |
| 000000011263 | Other | NY | GHI |
| 00715733 | Medicaid | NY | |
| 15128 | Other | NY | MVP |
Other names 1
- Dr. Fe Teresa De Jesus-McCarthy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040618001340 | NY | Practitioner - Obstetrics/Gynecology | 6507841129 | Practice locations: Latham, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 1966
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
951 Albany Shaker Rd
Latham, NY 12110-1460
Phone (518) 220-2022
Hospital & facility affiliations
- Ellis Hospital
- Samaritan Hospital of Troy, New York
- Saratoga Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 117422 | NY | MD | Social Worker |
Hospital & facility affiliations 20
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Schenectady, NY
- NPI 1487644993
-
- General Acute Care Hospital
- Troy, NY
- NPI 1043267727
-
- Endocrinology, Diabetes & Metabolism Physician
- Gansevoort, NY
- NPI 1033371166
Hospital
-
- General Acute Care Hospital
- Saratoga Springs, NY
- NPI 1073569331
-
- General Acute Care Hospital
- Saratoga Springs, NY
- NPI 1093078560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675209600000",
"number": "1174512743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "951 ALBANY SHAKER RD",
"city": "LATHAM",
"state": "NY",
"postal_code": "121101409",
"telephone_number": "518-220-2022",
"fax_number": "518-220-9263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "951 ALBANY SHAKER RD",
"city": "LATHAM",
"state": "NY",
"postal_code": "121101409",
"telephone_number": "518-220-2022",
"fax_number": "518-220-9263"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCARTHY",
"first_name": "FE TERESA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-10-17",
"last_updated": "2023-02-01",
"certification_date": "2023-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "117422",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA",
"identifier": "00040458801",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE B/C B/S",
"identifier": "50E762",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD CENTRAL NY",
"identifier": "TMC231123",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD NENY",
"identifier": "000416181001",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDPHP",
"identifier": "10001326",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1308176",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5356307",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DC4198",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "000000011263",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00715733",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "15128",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "FE TERESA",
"last_name": "DE JESUS-MCCARTHY",
"prefix": "DR.",
"credential": "M.D",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Latham, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.