Sandy M Terc

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

010139 Issued in NY

Practice address

1061 N Broadway
Massapequa, NY 11758-1853

Phone

(516) 420-4300

Fax

(516) 420-0730

NPI assigned

Oct 26, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1319587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319587200000",
    "number": "1477839165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1061 N BROADWAY",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117581853",
            "telephone_number": "516-420-4300",
            "fax_number": "516-420-0730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1061 N BROADWAY",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117581853",
            "telephone_number": "516-420-4300",
            "fax_number": "516-420-0730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERC",
        "first_name": "SANDY",
        "middle_name": "M",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-26",
        "last_updated": "2011-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "010139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Travis Tennie, DPT
• Kristen Gabrielle Tetro
• Miloni H Thakker
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• The Hearing Connection Inc
• The Little Sound Box Speech Therapy PLLC

• Physician Assistant in Massapequa, NY
• Providers in Massapequa, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.