Active NPI
Tracey Lherisson, WHNP-BC
- Women's Health Nurse Practitioner
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- F421049-01
- Practice address
- 522 3Rd St
Brooklyn, NY 11215-3003 - Phone
- (718) 768-8500
- Fax
- (718) 832-2523
- NPI assigned
- Jan 11, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | F421049-01 | NY | Primary |
Addresses
Primary practice location
522 3Rd St
Brooklyn, NY 11215-3003
Mailing address
522 3Rd St
Brooklyn, NY 11215-3003
Phone (718) 768-8500
Other practice location 1
464 77th St
Brooklyn, NY 11209-3206
Phone (718) 680-8383
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
372 Post Ave
Suite 106
Westbury, NY 11590-2201
Phone (516) 333-1444
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F421049-01 | NY | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mayer J. Saad MD P.C. | Single Specialty | Current | Accepting new patients |
Locations
8212 151st Ave
Jamaica, NY 11414
Phone (718) 843-6300
2950 Hempstead Tpke
Levittown, NY 11756
Phone (516) 520-3800
158 Hempstead Ave
Lynbrook, NY 11563
Phone (516) 593-3541
372 Post Ave
Ste 106
Westbury, NY 11590
Phone (516) 333-1444
Interoperability endpoints
- tlherisson@mjsmpdtwhp-ny.direct.office.nextgen.com
- tlherisson326091@northwell.direct-ci.com
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659830400000",
"number": "1639768138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "522 3RD ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112153003",
"telephone_number": "718-768-8500",
"fax_number": "718-832-2523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "522 3RD ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112153003",
"telephone_number": "718-768-8500",
"fax_number": "718-832-2523"
}
],
"practiceLocations": [
{
"address_1": "464 77th St",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112093206",
"country_code": "US",
"telephone_number": "718-680-8383",
"fax_number": "718-836-2063",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LHERISSON",
"first_name": "TRACEY",
"name_prefix": "Mrs.",
"credential": "WHNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-11",
"last_updated": "2022-08-07",
"certification_date": "2022-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Women's Health",
"state": "NY",
"license": "F421049-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2022; 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.