Individual provider Active NPI

Cecile Lori-Ann Teape

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1255692190
Registry record updated Jun 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
477804101 Issued in NY
Practice address
854 Troy Ave
Brooklyn, NY 11203-3104
Phone
(718) 576-1149
Fax
(718) 282-5154
NPI assigned
Jun 7, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 477804101 NY Primary

Addresses

Primary practice location

854 Troy Ave
Brooklyn, NY 11203-3104

Mailing address

854 Troy Ave
Brooklyn, NY 11203-3104
Phone (718) 576-1149

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
477804101NYMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1339027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339027200000",
    "number": "1255692190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "854 TROY AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112033104",
            "telephone_number": "718-576-1149",
            "fax_number": "718-282-5154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "854 TROY AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112033104",
            "telephone_number": "718-576-1149",
            "fax_number": "718-282-5154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEAPE",
        "first_name": "CECILE",
        "middle_name": "LORI-ANN",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-07",
        "last_updated": "2012-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "477804101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.