Active NPI
Kornelia Teslic, M.D.
- Diagnostic Radiology Physician
- West Nyack, NY
National Provider Identifier
1194760728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 212855
- Practice address
- 260 N Route 303
West Nyack, NY 10994-1608 - Phone
- (845) 353-0400
- Fax
- (845) 353-5563
- NPI assigned
- Jun 18, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 212855 | NY | Primary |
Addresses
Primary practice location
260 N Route 303
West Nyack, NY 10994-1608
Mailing address
260 N Route 303
West Nyack, NY 10994-1608
Phone (845) 353-0400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York Allergy & Sinus Group, PLLC | Current | Accepting new patients | |
| Mid-Island Medical Imaging, P.C. | Diagnostic Radiology | Past | Accepting new patients |
| Geisinger Clinic Selinsgrove | Diagnostic Radiology | Past | Accepting new patients |
| Nevada Spine Center, LLC | Past | Accepting new patients | |
| Park West Radiology, PC | Diagnostic Radiology | Past | Accepting new patients |
| Geisinger Clinic | Diagnostic Radiology | Past | Accepting new patients |
| Advanced Radiological Imaging-Astoria PC | Diagnostic Radiology | Past | Accepting new patients |
| Alpha Imaging Consultants, PLLC | Diagnostic Radiology | Past | Accepting new patients |
| Carlin Radiology Services P.C. | Diagnostic Radiology | Past | Accepting new patients |
Locations
7949 Myrtle Ave
Glendale, NY 11385
Phone 21268663218309
55 E 87th St
Ste 1C
New York, NY 10128
Phone (212) 348-4300
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CAEAED/Endpoint/CAEAED
Organizations & group practices 9
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.
-
- Allergy & Immunology Physician
- New York, NY
- NPI 1033274147
-
- Diagnostic Radiology Physician
- Astoria, NY
- NPI 1366490104
-
- Diagnostic Radiology Physician
- New York, NY
- NPI 1720209489
-
- Diagnostic Radiology Physician
- Flushing, NY
- NPI 1063611473
-
- Diagnostic Radiology Physician
- Medford, NY
- NPI 1396857843
-
- Diagnostic Ultrasound Physician
- New York, NY
- NPI 1003855404
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Danville, PA
- NPI 1558313023
-
- Family Medicine Physician
- Selinsgrove, PA
- NPI 1780642165
Diagnostic Radiology
-
- Specialist
- Hudson, FL
- NPI 1609229871
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458777600000",
"number": "1194760728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "260 N ROUTE 303",
"city": "WEST NYACK",
"state": "NY",
"postal_code": "109941608",
"telephone_number": "845-353-0400",
"fax_number": "845-353-5563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "260 N ROUTE 303",
"city": "WEST NYACK",
"state": "NY",
"postal_code": "109941608",
"telephone_number": "845-353-0400",
"fax_number": "845-353-5563"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TESLIC",
"first_name": "KORNELIA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-18",
"last_updated": "2016-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "212855",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Nyack, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.