Individual provider Active NPI

Tracey Lherisson, WHNP-BC

  • Women's Health Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1639768138
Registry record updated Aug 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
F421049-01 Issued in NY
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

Updated by the provider on Aug 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241127002014 NY Practitioner - Nurse Practitioner 6709311764 Reassigns benefits to 1 organization

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
Mayer J Saad MD PCGroup PAC ID 2769629914, 44 clinicians

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

LicenseStateTypeSpecialty
F421049-01NYMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mayer J. Saad MD P.C. Single Specialty CurrentSince Oct 1, 2024 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

  • Direct secure messaging: tlherisson@mjsmpdtwhp-ny.direct.office.nextgen.com
  • Direct secure messaging: 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

Verify at the official NPI Registry.