Active NPI
Teresa Berardi, PA
- Physician Assistant
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5605111
- Practice address
- 1825 Eastchester Road
Bronx, NY 10461 - Phone
- (718) 430-3204
- NPI assigned
- Oct 2, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5605111 | NY | Primary |
Addresses
Primary practice location
1825 Eastchester Road
Bronx, NY 10461
Mailing address
2423 Mickle Ave
Bronx, NY 10469-6203
Phone (718) 684-5122
Medicare participation
Medicare enrollment files- 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: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
41 E Post Rd
White Plains, NY 10601-4607
Phone (914) 681-1201
Hospital & facility affiliations
- Nyack Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005997 | NY | MD | Mental Health Counselor |
| 5605111 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montefiore Nyack Hospital | Current | Accepting new patients | |
| Laboratory Medicine Associates, LLP | Current | Accepting new patients | |
| Highland Medical P.C. | Current | Accepting new patients | |
| Montefiore Medical Center | Past | Accepting new patients |
Locations
160 N Midland Ave
Nyack, NY 10960
Phone (845) 348-2000
20 Liberty Square Mall
#21
Stony Point, NY 10980
Phone (845) 947-2225
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
Interoperability endpoints
- tberardi@hiemail.healtheconnections.org
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Nyack, NY
- NPI 1689955338
-
- General Practice Physician
- Nyack, NY
- NPI 1376600304
-
- Neurology Physician
- Nyack, NY
- NPI 1073881835
-
- Anatomic Pathology & Clinical Pathology Physician
- Nyack, NY
- NPI 1740251578
-
- Anesthesiology Physician
- Bronx, NY
- NPI 1063525152
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Nyack, NY
- NPI 1104808062
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321574400000",
"number": "1346333580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2423 MICKLE AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104696203",
"telephone_number": "718-684-5122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1825 EASTCHESTER ROAD",
"city": "BRONX",
"state": "NY",
"postal_code": "10461",
"telephone_number": "718-430-3204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERARDI",
"first_name": "TERESA",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-02",
"last_updated": "2011-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "5605111",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2011; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.