Active NPI
Lauren Tesoriero, DO
- Rheumatology Physician
- Hewlett, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 31353401
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Rheumatology
- 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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31353401 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St John'S Medical Services PC | Internal Medicine | Current | Accepting new patients |
| Rheumatology Consultants, LLP | Rheumatology | Current | Accepting new patients |
| Episcopal Health Services Inc | Past | 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
- lauren.tesoriero.1@14448.direct.athenahealth.com
- lauren.tesoriero.p1@direct.rheumconsultants.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- 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.
-
- Rheumatology Physician
- Hewlett, NY
- NPI 1851344782
-
- Internal Medicine Physician
- Far Rockaway, NY
- NPI 1023042173
-
- Community/Retail Pharmacy
- Far Rockaway, NY
- NPI 1689151201
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; 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.