Individual provider Active NPI

Theresa L Arida, FNP

  • Family Nurse Practitioner
  • North Tonawanda, NY
National Provider Identifier
1649622093
Registry record updated Jul 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F340739 Issued in NY
Practice address
1394 Birch Dr
North Tonawanda, NY 14120-2236
Phone
(716) 579-2997
NPI assigned
Jul 11, 2016
Last updated
Jul 11, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F340739 NY Primary

Addresses

Primary practice location

1394 Birch Dr
North Tonawanda, NY 14120-2236

Mailing address

1394 Birch Dr
North Tonawanda, NY 14120-2236
Phone (716) 579-2997

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F340739NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Newburgh Physician Services PC CurrentSince Mar 1, 2020 Accepting new patients
Wellnow Urgent Care, PC CurrentSince Dec 11, 2023 Accepting new patients
Daniel S. Berman, M.D., Infectious Diseases P.C. CurrentSince May 24, 2024 Accepting new patients

Locations

66 W Gilbert St
Tinton Falls, NJ 07701
Phone (732) 212-0051

1235 Pelham Pkwy N
Bronx, NY 10469
Phone (718) 231-4300

14227 Franklin Ave
Flushing, NY 11355
Phone (516) 205-3663

446 Fairview Ave
Ste 200
Hudson, NY 12534
Phone (518) 267-3496

7375 Oswego Rd
#1
Liverpool, NY 13090
Phone (315) 291-0064

491 State Route 208
Ste 211
Monroe, NY 10950
Phone (718) 633-7828

70 Dubois St
Newburgh, NY 12550
Phone (845) 534-4673

Interoperability endpoints

  • Direct secure messaging: theresa.arida.1@24989.direct.athenahealth.com

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1468195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468195200000",
    "number": "1649622093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1394 BIRCH DR",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141202236",
            "telephone_number": "716-579-2997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1394 BIRCH DR",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141202236",
            "telephone_number": "716-579-2997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARIDA",
        "first_name": "THERESA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-11",
        "last_updated": "2016-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F340739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Tonawanda, NY

Sources for this page

Verify at the official NPI Registry.