Terryville Medical Associates

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

TERRYVILLE MEDICAL ASSOCIATES

Practice address

116 Terryville Rd
Port Jefferson Station, NY 11776-1329

Phone

(631) 928-2002

NPI assigned

Apr 10, 2006

Organization subpart

No

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

Authorized official

Name

Dr. John Biasetti, M.D.

Title

President

Phone

(631) 928-2002

Specialties & licenses 1

Addresses

Tax ID family

Terryville Medical Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Terryville Medical Associates

  • Medical Specialty Clinic/Center
  • Port Jefferson Station, NY
  • NPI 1295714277
  NPD tax ID

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275596447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 TERRYVILLE RD",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117761329",
            "telephone_number": "631-928-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 TERRYVILLE RD",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117761329",
            "telephone_number": "631-928-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRYVILLE MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BIASETTI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-928-2002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elliot Stephen Taynor, D.D.S.
• Jane M Teague, RN
• Pamela J Tedeschi, LCSW
• Patricia Tenyenhuis
• Terryville Fire District
• Terryville Medical Associates
• The Family Tree Psychiatric & Medical Services
• The Way of Acupuncture P.C.
• Theodore Randolph,DPM
• Anthony C Theodoris, M.D.

• Internal Medicine Physician in Port Jefferson Station, NY
• Providers in Port Jefferson Station, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.