Organization Active NPI

Ernest S Terranova MD PC

  • Endocrinology, Diabetes & Metabolism Physician
  • South Salem, NY
National Provider Identifier
1184720633
Registry record updated Aug 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
144202 Issued in NY
Legal business name
ERNEST S TERRANOVA MD PC
Practice address
1 Harbor PL
South Salem, NY 10590-1505
Phone
(914) 666-7722
Fax
(914) 244-8859
NPI assigned
Sep 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2013

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

Authorized official

Name
Ernest S Terranova, M.D.NPI 1093746448
Title
President of Corporation
Phone
(914) 666-7722

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X 144202 NY Primary

Addresses

Primary practice location

1 Harbor PL
South Salem, NY 10590-1505

Mailing address

1 Harbor PL
South Salem, NY 10590-1505
Phone (914) 666-7722

Other identifiers 1

IdentifierTypeStateIssuer
00887238MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080130000583 NY Part B Supplier - Clinic/Group Practice 0143302083 Receives reassigned benefits from 1 practitioner
Practice locations: Croton on Hudson, NY; South Salem, NY; Port Chester, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375747200000",
    "number": "1184720633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HARBOR PL",
            "city": "SOUTH SALEM",
            "state": "NY",
            "postal_code": "105901505",
            "telephone_number": "914-666-7722",
            "fax_number": "914-244-8859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HARBOR PL",
            "city": "SOUTH SALEM",
            "state": "NY",
            "postal_code": "105901505",
            "telephone_number": "914-666-7722",
            "fax_number": "914-244-8859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERNEST S TERRANOVA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2013-08-06",
        "status": "A",
        "authorized_official_last_name": "TERRANOVA",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT OF CORPORATION",
        "authorized_official_telephone_number": "914-666-7722",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NY",
            "license": "144202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00887238",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Salem, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2013; 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.