Theresa Ann Ayala, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F335342 Issued in NY

Practice address

1125 Broadway
Health Office
Albany, NY 12204-2505

Phone

(518) 433-3739

Fax

(518) 471-7973

NPI assigned

Jul 13, 2007

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Medical Pain Management Services, PLLC

  dba The Albany Center for Pain Mgmt

  • Pain Medicine (Anesthesiology) Physician
  • Albany, NY
  • NPI 1215981261
  NPD
• Orthopedicsny, LLP

  • Specialist
  • Albany, NY
  • NPI 1568415412
  NPD
• Orthopedicsny, LLP

  dba OrthoNY

  • Orthopaedic Surgery Physician
  • Schenectady, NY
  • NPI 1588107015
  NPD
• Wellnow Urgent Care, PC

  dba WellNow Urgent Care

  • Urgent Care Clinic/Center
  • Liverpool, NY
  • NPI 1669825162
  NPD

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557187200000",
    "number": "1356540017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 BROADWAY",
            "city": "MENANDS",
            "state": "NY",
            "postal_code": "122042505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 BROADWAY",
            "address_2": "HEALTH OFFICE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122042505",
            "telephone_number": "518-433-3739",
            "fax_number": "518-471-7973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYALA",
        "first_name": "THERESA",
        "middle_name": "ANN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-13",
        "last_updated": "2019-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F335342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mina Elishea Abdelaty Awad, MD
• Adamu Awak, MD
• Aftab A Awan, MD
• Madleen Awawdeh
• James P Axford, MD
• Hasan Basri Aydin, MD
• Denise Ayers
• Maria Aylward, NP
• Nicole L Ayres, MD
• Nyla Azam, MD

• Family Nurse Practitioner in Albany, NY
• Providers in Albany, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2019; 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.