Individual provider Active NPI

Laura Tesoriero, MD

  • Family Medicine Physician
  • Brick, NJ
National Provider Identifier
1457368573
Registry record updated Aug 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA06115000 Issued in NJ
Practice address
1899 Route 88
Brick, NJ 08724-3124
Phone
(732) 840-8177
NPI assigned
Aug 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA06115000 NJ Primary

Addresses

Primary practice location

1899 Route 88
Brick, NJ 08724-3124

Mailing address

1899 Route 88
Brick, NJ 08724-3124
Phone (732) 840-8177

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110321000826 NJ Practitioner - Family Practice 4880877372 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical College of Pennsylvania, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Our Family PracticeGroup PAC ID 2466408356, 5 clinicians

Practice addresses (Care Compare)

1899 Route 88 E
Brick, NJ 08724-3124
Phone (732) 840-8177

Hospital & facility affiliations

  • Ocean Medical Center Hospital, Brick, NJ, CCN 310052

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Our Family Practice LLC CurrentSince Apr 19, 1996 Accepting new patients
Our Family Practice Family Medicine CurrentSince Apr 19, 1996 Accepting new patients

Locations

1899 State Highway 88
Brick, NJ 08724
Phone (732) 840-8177

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/28485/brand/1/csg/1/fhir/r4
  • Direct secure messaging: laura.tesoriero.1@28485.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375401600000",
    "number": "1457368573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1899 ROUTE 88",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087243124",
            "telephone_number": "732-840-8177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1899 ROUTE 88",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087243124",
            "telephone_number": "732-840-8177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TESORIERO",
        "first_name": "LAURA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2013-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA06115000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

Verify at the official NPI Registry.