Teofilo P Recitas, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

126655-1 Issued in NY

Practice address

200 Old Country Road Suite 520
Ste 100
Mineola, NY 11115-2501

Phone

(516) 877-0975

NPI assigned

Jun 22, 2005

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Asadur Miah Physician PC

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  • NPI 1144779620
  NPD (past)
• Community Anesthesia Services

  • Specialist
  • Great Neck, NY
  • NPI 1790780203
  NPD (past)
• Comprehensive Anesthesia Associates PLLC

  • Anesthesiology Physician
  • Flushing, NY
  • NPI 1255386231
  NPD (past)
• Ear, Nose & Throat Associates of New York,P.C.

  • Facial Plastic Surgery Physician
  • Fresh Meadows, NY
  • NPI 1124079769
  NPD (past)
• Jackson H. Kuan M.D. LLC

  • Specialist
  • Flushing, NY
  • NPI 1134248594
  NPD (past)
• Pain Management Physicians PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Flushing, NY
  • NPI 1417970336
  NPD (past)

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447256789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 BIRCHDALE LN",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110504502",
            "telephone_number": "516-570-0358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 OLD COUNTRY ROAD SUITE 520",
            "address_2": "STE 100",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "111152501",
            "telephone_number": "516-877-0975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RECITAS",
        "first_name": "TEOFILO",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "126655-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00888697",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Irina Rapoport, M.D.
• Nancy Rau, RD
• Steven Jay Ravich, MD
• Beevash Ray, MD
• George Rayo
• William Piper Reed, M.D.
• Alexandra Reens, M.D.
• Nicole Danielle Regan, RDN
• Rehana Adult Day Care Center LLC
• Rehana Ambulatory Care LLC

• Anesthesiology Physician in Mineola, NY
• Providers in Mineola, NY by specialty
• Anesthesiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.