Dorian Tetelman, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

046158 Issued in NY

Practice address

30 East 60TH Street
Suite 702
New York, NY 10022-7110

Phone

(212) 319-0090

Fax

(212) 753-2584

NPI assigned

Jun 7, 2007

Sex

Male

Sole proprietor

Yes

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306049382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 EAST 60TH STREET",
            "address_2": "SUITE 702",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100227110",
            "telephone_number": "212-319-0090",
            "fax_number": "212-753-2584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 EAST 60TH STREET",
            "address_2": "SUITE 702",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100227110",
            "telephone_number": "212-319-0090",
            "fax_number": "212-753-2584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TETELMAN",
        "first_name": "DORIAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "046158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruth Tessler, M.D.
• Jennifer Testa
• Lauren Testa, MD
• Paul Anthony Testa, M.D., J.D., M.P.H
• Giselle Joy Gerardo Teston, CNM
• Maureen Rose Tetelman, M.S., L.AC.
• Roxana Tetenbaum, SOCIAL WORKER
• Katherine Teter, MD
• Richard Teter, DPM
• Marilyn Siegel Tetlow, MSW LCSW

• General Practice Dentistry in New York, NY
• Providers in New York, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.