Active NPI
P.a. Terraciano, M.D., P.C.
- Ophthalmology Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 214528
- Legal business name
- P.A. TERRACIANO, M.D., P.C.
- Practice address
- 136 E 64TH St
Apt. 2B, Doctors Office
New York, NY 10021-7360 - Phone
- (212) 688-6060
- NPI assigned
- Jan 31, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Anthony John Terraciano, M.D.
- Title
- Physician
- Phone
- (718) 654-7122
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 214528 | NY | Primary |
Addresses
Primary practice location
136 E 64TH St
Apt. 2B, Doctors Office
New York, NY 10021-7360
Mailing address
2241 Esplanade Ave
Bronx, NY 10469-5405
Phone (718) 654-7122
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051208000977 | NY | Part B Supplier - Clinic/Group Practice | 7214958990 |
Receives reassigned benefits from 2 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Bronx, NY; New York, NY |
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Tax ID family
- P a Terraciano MD PC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Ophthalmology Physician
- Bronx, NY
- NPI 1184637662
Locations
2241 Esplanade Ave
Bronx, NY 10469
Phone (718) 654-7122
7902 4th Ave
Brooklyn, NY 11209
Phone (718) 748-2550
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Bronx, NY
- NPI 1730185810
-
- Ophthalmology Physician
- Astoria, NY
- NPI 1033170675
-
- Specialist
- New York, NY
- NPI 1629077078
-
- Ophthalmology Physician
- Brooklyn, NY
- NPI 1033102322
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1316084387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2241 ESPLANADE AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104695405",
"telephone_number": "718-654-7122",
"fax_number": "718-547-5876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "136 E 64TH ST",
"address_2": "APT. 2B, DOCTORS OFFICE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100217360",
"telephone_number": "212-688-6060"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "P.A. TERRACIANO, M.D., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-31",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "TERRACIANO",
"authorized_official_first_name": "ANTHONY",
"authorized_official_middle_name": "JOHN",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "718-654-7122",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "NY",
"license": "214528",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.