Organization Active NPI

Joseph P Terlizzi MD PLLC

  • Surgery Physician
  • New York, NY
National Provider Identifier
1447955414
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
JOSEPH P TERLIZZI MD PLLC
Practice address
420 W 23Rd St
New York, NY 10011-2172
Phone
(212) 242-6500
NPI assigned
Mar 31, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

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

Authorized official

Name
Dr. Joseph Terlizzi, MDNPI 1811208390
Title
Surgeon/Owner
Phone
(856) 904-4187

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

420 W 23Rd St
New York, NY 10011-2172

Mailing address

420 W 23Rd St Apt PB1F
New York, NY 10011-2155
Phone (212) 242-6500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230921002189 NY Part B Supplier - Clinic/Group Practice 9931553138 Receives reassigned benefits from 2 practitioners
Practice locations: New York, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2290833Joseph P Terlizzi, MD, PLLC420 W 23Rd Street, Suite PB1F, New York, NY 10011Certificate of waiverOct 1, 2027

National Provider Directory

National Provider Directory

Locations

420 W 23rd St
Apt PB1F
New York, NY 10011
Phone (212) 242-6500

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1680220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725494400000",
    "number": "1447955414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 W 23RD ST APT PB1F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100112155",
            "telephone_number": "212-242-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 W 23RD ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100112172",
            "telephone_number": "212-242-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH P TERLIZZI MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-31",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A",
        "authorized_official_last_name": "TERLIZZI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "SURGEON/OWNER",
        "authorized_official_telephone_number": "856-904-4187",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.