Organization Active NPI

Lawrence Tesser DPM PLLC

  • Foot & Ankle Surgery Podiatrist
  • Merrick, NY
National Provider Identifier
1285821942
Registry record updated Oct 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
005175 Issued in NY
Legal business name
LAWRENCE TESSER DPM PLLC
Practice address
1800 Merrick Rd
Merrick, NY 11566-4530
Phone
(516) 377-7701
NPI assigned
Sep 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2009

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

Authorized official

Name
Dr. Lawrence Marc Tesser, DPMNPI 1053393868
Title
Podiatrist
Phone
(516) 377-7701

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 005175 NY Primary

Addresses

Primary practice location

1800 Merrick Rd
Merrick, NY 11566-4530

Mailing address

1800 Merrick Rd
Merrick, NY 11566-4530
Phone (516) 377-7701

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050608001188 NY Part B Supplier - Clinic/Group Practice 3971546003 Receives reassigned benefits from 1 practitioner
Practice locations: Merrick, NY
O20100930096540 NY DME Supplier - Physician - Podiatry 3971546003 Practice locations: Merrick, NY

National Provider Directory

National Provider Directory

Locations

1825 Merrick Rd
Merrick, NY 11566
Phone (516) 377-2738

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256169600000",
    "number": "1285821942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 MERRICK RD",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115664530",
            "telephone_number": "516-377-7701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 MERRICK RD",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115664530",
            "telephone_number": "516-377-7701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE TESSER DPM PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-26",
        "last_updated": "2009-10-22",
        "status": "A",
        "authorized_official_last_name": "TESSER",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "MARC",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "516-377-7701",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "005175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrick, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.