Active NPI
Ernest S Terranova MD PC
- Endocrinology, Diabetes & Metabolism Physician
- South Salem, NY
National Provider Identifier
1184720633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 144202
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ernest S Terranova, M.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00887238 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Endocrinology, Diabetes & Metabolism Physician
- South Salem, NY
- NPI 1093746448
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.