Active NPI
Erena Treskova, MD
- Pediatric Gastroenterology Physician
- Middletown, NY
National Provider Identifier
1568404283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Gastroenterology Physician
- License
- 25MA06362400
- Practice address
- 682 E Main St Ste 2D
Middletown, NY 10940-2647 - Phone
- (845) 341-0264
- Fax
- (845) 343-0962
- NPI assigned
- Jun 10, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Gastroenterology Physician | 2080P0206X | 25MA06362400 | NJ | Primary |
Addresses
Primary practice location
682 E Main St Ste 2D
Middletown, NY 10940-2647
Mailing address
PO Box 18666
Belfast, ME 04915-4081
Phone (845) 341-0264
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8259704 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA06362400 | NJ | MD | Pediatric Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Humc Opco LLC | Current | Accepting new patients | |
| Trustees of Columbia University in the City of New York | Pediatric Gastroenterology | Past | Accepting new patients |
| Erena Treskova and Co., LLC | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
Interoperability endpoints
- erena.treskova@direct.hobokenumc.md
- https://api.platform.athenahealth.com/1324/brand/1/csg/1/fhir/r4
Organizations & group practices 3
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.
-
- Specialist
- Middletown, NY
- NPI 1619161171
-
- General Acute Care Hospital
- Hoboken, NJ
- NPI 1043475668
-
- Pediatric Emergency Medicine (Pediatrics) Physician
- New York, NY
- NPI 1760444822
Pediatric Gastroenterology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483056000000",
"number": "1568404283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 18666",
"city": "BELFAST",
"state": "ME",
"postal_code": "049154081",
"telephone_number": "845-341-0264",
"fax_number": "845-343-0962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "682 E MAIN ST STE 2D",
"city": "MIDDLETOWN",
"state": "NY",
"postal_code": "109402647",
"telephone_number": "845-341-0264",
"fax_number": "845-343-0962"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRESKOVA",
"first_name": "ERENA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-10",
"last_updated": "2016-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0206X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": "NJ",
"license": "25MA06362400",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8259704",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Middletown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.