Teresa Hervada, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

211433 Issued in NY

Practice address

3050 Corlear Ave
Suite 201
Bronx, NY 10463-5180

Phone

(718) 543-2700

Fax

(718) 601-0965

NPI assigned

Sep 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

82.13 of 100Reported as group

Quality

72.13

Promoting interoperability

91

Improvement activities

40

Cost

75.81

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Optum Medical Care, P.C.

  dba CareMount Medical, P.C.

  • Cardiovascular Disease Physician
  • Mount Kisco, NY
  • NPI 1982643003
  Medicare reassignment NPD
• Optum Medical Care, P.C.

  • Durable Medical Equipment & Medical Supplies
  • New Hyde Park, NY
  • NPI 1053190595
  NPD
• Manhattanville SBV LLC

  • Skilled Nursing Facility
  • Bronx, NY
  • NPI 1821084195
  NPD (past)
• St. Patrick's Home for the Aged and Infirm

  dba St. Patrick's Home

  • Skilled Nursing Facility
  • Bronx, NY
  • NPI 1568435402
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401235200000",
    "number": "1194823237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 CORLEAR AVE",
            "address_2": "SUITE 201",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104635180",
            "telephone_number": "718-543-2700",
            "fax_number": "718-601-0965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 CORLEAR AVE",
            "address_2": "SUITE 201",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104635180",
            "telephone_number": "718-543-2700",
            "fax_number": "718-601-0965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERVADA",
        "first_name": "TERESA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2014-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "211433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Scott Herszenson, M.D.
• Hilary Hertan, M.D.
• Jayne Hertko
• Adi Hertz, MD
• Paul Martin Hertz, DMD
• Doris Leona Herzfeld, M.D.
• Sharon Grossman Herzog, PSYD
• Marjan Hesari, MD
• Maryam Heshami, MD
• Cleon Heslop

• Family Medicine Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2014; 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.

Verify at the official NPI Registry.