Individual provider Active NPI

Larissa A. Tedesco, PA-C

  • Surgical Physician Assistant
  • White Plains, NY
National Provider Identifier
1467601401
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
1688 Issued in CT
Practice address
222 Westchester Ave
Suite 102
White Plains, NY 10604-2906
Phone
(914) 946-1010
Fax
(914) 946-1025
NPI assigned
Sep 15, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 010822-1 NY
Surgical Physician Assistant 363AS0400X 1688 CT Primary
Physician Assistant 363A00000X 1688 CT

Addresses

Primary practice location

222 Westchester Ave
Suite 102
White Plains, NY 10604-2906

Mailing address

2408 Whitney Ave
Hamden, CT 06518-3209
Phone (203) 626-0160

Other practice location 1

888 White Plains Rd Ste 105
Trumbull, CT 06611-4552
Phone (203) 268-2882

Other names 1

  • Larissa Pilozzi Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20051027000845 CT Practitioner - Physician Assistant 2264459320 Reassigns benefits to 4 organizations
I20051215000430 NY Practitioner - Physician Assistant 2264459320

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hartford Healthcare Medical Group Specialists PLLCGroup PAC ID 3173866241, 1,555 clinicians

Practice addresses (Care Compare)

1244 Storrs Rd
Road
Storrs, CT 06268-2200
Phone (860) 724-2579

2408 Whitney Ave
Hamden, CT 06518-3209
Phone (203) 407-3500

2800 Main St
Bridgeport, CT 06606-4201

888 White Plains Rd
Trumbull, CT 06611-4552

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.42 of 100Reported as group
Quality
83.36
Promoting interoperability
100
Improvement activities
40
Cost
75.9

Merit-based Incentive Payment System (MIPS)

Final score
87.81 of 100Reported as group
Quality
79.31
Promoting interoperability
100
Improvement activities
40
Cost
80.04

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
010822-1NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group Specialists, PLLC Surgical CurrentSince Dec 1, 2020 Accepting new patients
Connecticut Orthopaedic Specialists, PC CurrentSince Mar 1, 2018 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Dec 1, 2020 Accepting new patients
Connecticut Orthopaedic Specialists, PC Physician Assistant CurrentSince Mar 1, 2018 Accepting new patients
The Orthopaedic and Sports Medicine Center PastSince Aug 23, 2020 Accepting new patients

Locations

84 N Main St
Ofc
Branford, CT 06405

84 N Main St
Branford, CT 06405
Phone (203) 483-2015

2800 Main St
Bridgeport, CT 06606
Phone (203) 386-0366

2416 Whitney Ave
Ste 1
Hamden, CT 06518

2416 Whitney Ave
Fl 1
Hamden, CT 06518
Phone (203) 407-3550

2408 Whitney Ave
Hamden, CT 06518
Phone (203) 407-3500

330 Bridgeport Ave
Shelton, CT 06484
Phone (203) 538-0020

100 Beard Sawmill Rd
Shelton, CT 06484
Phone (203) 445-5500

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

888 White Plains Rd
Ste 106
Trumbull, CT 06611
Phone (203) 268-2882

888 White Plains Rd
Ste 205
Trumbull, CT 06611

888 White Plains Rd
Ste 105
Trumbull, CT 06611
Phone (203) 268-2882

1800 Post Rd E
Westport, CT 06880
Phone (203) 254-1354

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

Interoperability endpoints

  • Direct secure messaging: larissa.tedesco@xdr.hhchealthdirect.org
  • Direct secure messaging: ltedesco@pecfaaw-ct.direct.office.nextgen.com

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.

Hospital & facility affiliations 1

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": "1221436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1467601401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2408 WHITNEY AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183209",
            "telephone_number": "203-626-0160",
            "fax_number": "203-294-6734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 WESTCHESTER AVE",
            "address_2": "SUITE 102",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106042906",
            "telephone_number": "914-946-1010",
            "fax_number": "914-946-1025"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "888 White Plains Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Trumbull",
            "state": "CT",
            "postal_code": "066114552",
            "country_code": "US",
            "telephone_number": "203-268-2882",
            "fax_number": "203-672-0840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEDESCO",
        "first_name": "LARISSA",
        "middle_name": "A.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-15",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "010822-1",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CT",
            "license": "1688",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "1688",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LARISSA",
            "last_name": "PILOZZI",
            "credential": "P.A.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in White Plains, NY

Sources for this page

Verify at the official NPI Registry.