Individual provider Active NPI

Lauren Tesoriero, DO

  • Rheumatology Physician
  • Hewlett, NY
National Provider Identifier
1346747581
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
31353401 Issued in NY
Practice address
1157 Broadway
Hewlett, NY 11557-2325
Phone
(516) 295-4481
NPI assigned
Apr 12, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 31353401 NY
Rheumatology Physician 207RR0500X 31353401 NY Primary

Addresses

Primary practice location

1157 Broadway
Hewlett, NY 11557-2325

Mailing address

1157 Broadway
Hewlett, NY 11557-2325

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240906001468 NY Practitioner - RheumatologyPractitioner - Internal Medicine 4486194321 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
New York College of Osteo Medicine of New York Institute of Technology, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rheumatology Consultants, LLPGroup PAC ID 5092604744, 10 clinicians
St John'S Medical Services PCGroup PAC ID 1850314865, 89 clinicians

Practice addresses (Care Compare)

1157 Broadway
Hewlett, NY 11557-2325
Phone (516) 295-4481

327 Beach 19TH St
Far Rockaway, NY 11691-4423
Phone (718) 869-7919

Hospital & facility affiliations

  • St John'S Episcopal Hospital at South Shore Hospital, Far Rockaway, NY, CCN 330395

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
31353401NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St John'S Medical Services PC Internal Medicine CurrentSince Oct 1, 2024 Accepting new patients
Rheumatology Consultants, LLP Rheumatology CurrentSince Sep 1, 2024 Accepting new patients
Episcopal Health Services Inc PastSince Oct 1, 2024 Accepting new patients

Locations

1909 Plainview Ave
Far Rockaway, NY 11691
Phone (718) 869-7690

327 Beach 19th St
Far Rockaway, NY 11691
Phone (718) 689-7640

1157 Broadway
Unit 1
Hewlett, NY 11557

1157 Broadway
Hewlett, NY 11557
Phone (516) 295-3355

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: lauren.tesoriero.1@14448.direct.athenahealth.com
  • Direct secure messaging: lauren.tesoriero.p1@direct.rheumconsultants.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://api.platform.athenahealth.com/14448/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1523491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1346747581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1157 BROADWAY",
            "city": "HEWLETT",
            "state": "NY",
            "postal_code": "115572325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1157 BROADWAY",
            "city": "HEWLETT",
            "state": "NY",
            "postal_code": "115572325",
            "telephone_number": "516-295-4481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TESORIERO",
        "first_name": "LAUREN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-12",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "31353401",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NY",
            "license": "31353401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hewlett, NY

Sources for this page

Verify at the official NPI Registry.