Active NPI
Theresa Durchhalter, D.O.
- Dermatology Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 290730
- Practice address
- 7901 4TH Ave
Brooklyn, NY 11209-3972 - Phone
- (718) 491-5800
- NPI assigned
- Mar 8, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 290730 | NY | Primary |
Addresses
Primary practice location
7901 4TH Ave
Brooklyn, NY 11209-3972
Mailing address
998 Third Ave
Franklin Square, NY 11010-1846
Phone (516) 640-1336
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
- Dermatology
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
400 S Oyster Bay Rd
Suite 100
Hicksville, NY 11801-3500
Phone (516) 933-1717
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.15 of 100
- Quality
- 96.29
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 16 |
| Removal of skin lesions | 600 |
| Removal or shaving of skin growth | 35 |
| Skin biopsy | 246 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 290730 | NY | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ronald R Brancaccio MD & Peter Saitta DO PC | Dermatology | Current | Accepting new patients |
| Saitta Dermatology PC | Dermatology | Current | Accepting new patients |
| Charles Evans Center, Inc. | Current | Accepting new patients | |
| Mariel Eliza, M.D., PLLC | Current | Accepting new patients | |
| St John'S Medical Services PC | Current | Accepting new patients | |
| Allure Dermatology PLLC | Dermatology | Current | Accepting new patients |
| Charles Evans Center, Inc | Current | Accepting new patients |
Locations
857 S Oyster Bay Rd
Bethpage, NY 11714
Phone (516) 622-8888
7901 4th Ave
Ste A20
Brooklyn, NY 11209
Phone (718) 491-6900
327 Beach 19th St
Far Rockaway, NY 11691
Phone (718) 689-7640
340 Dogwood Ave
Ste 109
Franklin Square, NY 11010
Phone (516) 483-0800
400 S Oyster Bay Rd
Ste 100
Hicksville, NY 11801
Phone (516) 234-0073
10538 Rockaway Beach Blvd
Rockaway Park, NY 11694
Phone (718) 318-3434
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
Interoperability endpoints
- https://api.platform.athenahealth.com/14448/brand/1/csg/1/fhir/r4
Organizations & group practices 7
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.
-
- Dermatology Physician
- Hicksville, NY
- NPI 1932853728
-
- Federally Qualified Health Center (FQHC)
- Bethpage, NY
- NPI 1972982007
-
- Dermatology Physician
- Brooklyn, NY
- NPI 1386719425
-
- Federally Qualified Health Center (FQHC)
- Seaford, NY
- NPI 1215596614
-
- Plastic Surgery Physician
- Hicksville, NY
- NPI 1457900060
-
- Dermatology Physician
- Brooklyn, NY
- NPI 1083233324
-
- Internal Medicine Physician
- Far Rockaway, NY
- NPI 1023042173
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624838400000",
"number": "1427419241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "998 THIRD AVE",
"city": "FRANKLIN SQUARE",
"state": "NY",
"postal_code": "110101846",
"telephone_number": "516-640-1336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7901 4TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112093972",
"telephone_number": "718-491-5800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DURCHHALTER",
"first_name": "THERESA",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-08",
"last_updated": "2021-06-28",
"certification_date": "2021-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NY",
"license": "290730",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2021; 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.