Teresa Aimee Habacker, MD
Individual provider Active NPI Orthopaedic Hand Surgery Physician · Wading River, NY
NPI 1568552115 · NPPES record last updated Nov 17, 2020
Key facts
- NPI
- 1568552115
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopaedic Hand Surgery Physician 207XS0106X
- License
- 184539 (NY)
- Practice address
- 5954 Route 25a
Wading River, NY 11792-2001 - Phone
- (631) 473-4263
- Fax
- (631) 473-4260
- NPI assigned
- Oct 13, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Hand Surgery
- Education
- Virginia Commonwealth University, School of Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Stony Brook Orthopaedic Associates, University Faculty Practice Corpor
Practice addresses (Care Compare)
14 Technology Dr
Suite 11
East Setauket, NY 11733-3464
Phone (631) 444-4233
201 Manor PL
Greenport, NY 11944-1222
Phone (631) 477-1000
Hospital & facility affiliations
- Suny/Stony Brook University Hospital
- St Charles Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 1-10 |
| Removal of tissue | 1-10 |
| Removal of nail tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070629000196 | NY | Practitioner - Hand Surgery |
7113026311 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles (4 of 8)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stony Brook Orthopaedic Associates, University Faculty Practice Corpor | Current |
Accepting new patients | |
| Alfred J. Cossari, M.D., P.C. | Past | Accepting new patients | |
| University Associates in Obstetrics & Gynecology, University Faculty P | Past | Accepting new patients | |
| Stony Brook Surgical Associates, University Faculty Practice Corporati | Past | Accepting new patients |
Locations
14 Technology Dr
Ste 11
East Setauket, NY 11733
Phone (631) 444-1496
4 Smith Haven Mall
Ste 103
Lake Grove, NY 11755
10095 Main Rd
Mattituck, NY 11952
Phone (631) 213-4499
311 Barnum Ave
Prt Jefferson, NY 11777
Phone (631) 473-4263
74 Commerce Ave
Ste 4
Riverhead, NY 11901
Phone (631) 638-1670
14 Technology Dr
Setauket, NY 11733
Phone (516) 444-1357
240 Meeting House Ln
Southampton, NY 11968
Phone (631) 726-0409
5954 Route 25A
Wading River, NY 11792
Phone (631) 473-4263
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JEHACA/Endpoint/JEHACA
- teresa.habacker@sbcm.cernerdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 184539 | NY | |
| Orthopaedic Hand Surgery Physician | 207XS0106X | 184539 | NY | Yes |
Addresses
Primary practice location
5954 Route 25a
Wading River, NY 11792-2001
Mailing address
PO Box 1559
Stony Brook, NY 11790-0989
Phone (631) 473-4263
Other practice location 1
240 Meeting House Ln
Southampton, NY 11968-5009
Phone (631) 473-4263
Other practice location 2
311 Barnum Ave
Port Jefferson, NY 11777-1682
Phone (631) 473-4263
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02925937 | Medicaid | NY |
Other names
- Teresa Schully Habacker
Other providers in Wading River, NY
- Marion R Golden
- Katherine Edith Gosman
- Josephine Gramarosso
- Charles Greco
- Rebecca Irene Grodski
- Melinda Marie Halbert
- Nicole Hamill
- Hamptons Speech and Language PLLC
- Dolores Hanebury
- Lisa Anne Heim-Zeller
All providers in Wading River, NY · Orthopaedic Hand Surgery Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 17, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.