Active NPI
Terrence W Hallahan, PH. D
- Laboratory Management Specialist/Technologist
- Melville, NY
National Provider Identifier
1376850412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Laboratory Management Specialist/Technologist
- License
- HALLT1
- Practice address
- 80 Ruland Rd
Suite 1
Melville, NY 11747-4211 - Phone
- (631) 425-0800
- Fax
- (631) 425-0811
- NPI assigned
- Sep 10, 2010
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Laboratory Management Specialist/Technologist | 246QL0900X | HALLT1 | NY | Primary |
Addresses
Primary practice location
80 Ruland Rd
Suite 1
Melville, NY 11747-4211
Mailing address
80 Ruland Rd
Suite 1
Melville, NY 11747-4211
Phone (631) 425-0800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| HALLT1 | NY | MD | Laboratory Management Specialist/Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284076800000",
"number": "1376850412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 RULAND RD",
"address_2": "SUITE 1",
"city": "MELVILLE",
"state": "NY",
"postal_code": "117474211",
"telephone_number": "631-425-0800",
"fax_number": "631-425-0811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 RULAND RD",
"address_2": "SUITE 1",
"city": "MELVILLE",
"state": "NY",
"postal_code": "117474211",
"telephone_number": "631-425-0800",
"fax_number": "631-425-0811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALLAHAN",
"first_name": "TERRENCE",
"middle_name": "W",
"credential": "PH. D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-09-10",
"last_updated": "2010-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "246QL0900X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Pathology, Laboratory Management",
"state": "NY",
"license": "HALLT1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Melville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.