Active NPI
Lisa Marie Terrana, M.D.
- Student in an Organized Health Care Education/Training Program
- Stony Brook, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 101 Nicolls Rd
Stony Brook, NY 11794-0001 - Phone
- (631) 444-1791
- NPI assigned
- May 18, 2012
- Last updated
- May 18, 2012
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
101 Nicolls Rd
Stony Brook, NY 11794-0001
Mailing address
17 Artisan Ave
Huntington, NY 11743-6450
Phone (516) 458-6250
Medicare participation
Medicare enrollment files- 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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1110 Hallock Ave
Port Jefferson Station, NY 11776-1210
Phone (631) 476-9100
1149 Old Country Rd
Suite C4
Riverhead, NY 11901-2061
Phone (631) 591-9003
1324 Motor Pkwy
Suite 101
Hauppauge, NY 11749-5226
Phone (631) 979-0222
200 Belle Terre Rd
Port Jefferson, NY 11777-1928
Phone (631) 474-6000
2200 Northern Blvd
Greenvale, NY 11548-1219
Phone (516) 325-7310
50 Route 25a
Smithtown, NY 11787-1348
Phone (631) 862-3000
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 58 |
| Leg revascularization (restoring blood flow) | 31 |
| Removal of tissue | 84 |
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CHS Physician Partners, P.C | Current | Accepting new patients | |
| CHS Physician Partners, PC | Current | Accepting new patients | |
| Suffolk Vascular Associates, PLLC | Current | Accepting new patients |
Locations
2200 Northern Blvd
Greenvale, NY 11548
Phone (516) 482-0080
1110 Hallock Ave
Port Jefferson Station, NY 11776
Phone (631) 476-9100
1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012
100 Port Washington Blvd
Ste G3
Roslyn, NY 11576
Phone (516) 627-4800
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- lterrana133194@direct-chsli.net
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Cardiac Interventional Group
- Interventional Cardiology Physician
- Fresh Meadows, NY
- NPI 1407089345
-
- Vascular Surgery Physician
- Port Jefferson Station, NY
- NPI 1720059926
-
- Cardiovascular Disease Physician
- Roslyn, NY
- NPI 1164585725
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Catholic Health Home Care
- Home Health Agency
- Farmingdale, NY
- NPI 1780670711
-
dba St. Charles Hospital
- General Acute Care Hospital
- Port Jefferson, NY
- NPI 1164481529
-
- General Acute Care Hospital
- Smithtown, NY
- NPI 1982663423
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337299200000",
"number": "1619237195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 ARTISAN AVE",
"city": "HUNTINGTON",
"state": "NY",
"postal_code": "117436450",
"telephone_number": "516-458-6250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 NICOLLS RD",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "117940001",
"telephone_number": "631-444-1791"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TERRANA",
"first_name": "LISA",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-18",
"last_updated": "2012-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stony Brook, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2012; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.