P.a. Terraciano, M.D., P.C.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

214528 Issued in NY

Legal business name

P.A. TERRACIANO, M.D., P.C.

Practice address

9920 4TH Ave
Suite #209
Brooklyn, NY 11209-8333

Phone

(718) 238-2667

Fax

(718) 238-5258

NPI assigned

Jan 31, 2007

Organization subpart

No

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

Authorized official

Name

Anthony John Terraciano, M.D.

Title

Physician

Phone

(718) 654-7122

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• P.a. Terraciano, M.D., P.C.

  • Ophthalmology Physician
  • Bronx, NY
  • NPI 1184637662

  O20051208000977

  Same enrollment
• P.a. Terraciano, M.D., P.C.

  • Ophthalmology Physician
  • New York, NY
  • NPI 1316084387

  O20051208000977

  Same enrollment

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289088000000",
    "number": "1407993470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2241 ESPLANADE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104695405",
            "telephone_number": "718-654-7122",
            "fax_number": "718-547-5876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9920 4TH AVE",
            "address_2": "SUITE #209",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112098333",
            "telephone_number": "718-238-2667",
            "fax_number": "718-238-5258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P.A. TERRACIANO, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2010-11-07",
        "status": "A",
        "authorized_official_last_name": "TERRACIANO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "718-654-7122",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "214528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ophthalmology Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.