Individual provider Active NPI

Kornelia Teslic, M.D.

  • Diagnostic Radiology Physician
  • West Nyack, NY
National Provider Identifier
1194760728
Registry record updated Mar 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
212855 Issued in NY
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

Updated by the provider on Mar 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
New York Allergy & Sinus Group, PLLC CurrentSince Apr 20, 2018 Accepting new patients
Mid-Island Medical Imaging, P.C. Diagnostic Radiology PastSince Jan 20, 2010 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 PastSince Jul 1, 2008 Accepting new patients
Geisinger Clinic Diagnostic Radiology Past Accepting new patients
Advanced Radiological Imaging-Astoria PC Diagnostic Radiology PastSince Aug 1, 2017 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.