Organization Active NPI

Teresa a. Habacker, M.D.,P.C.

  • Orthopaedic Surgery Physician
  • Wading River, NY
National Provider Identifier
1689996563
Registry record updated May 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
184539-1 Issued in NY
Legal business name
TERESA A. HABACKER, M.D.,P.C.
Doing business as
d/b/a East End Hand Surgery
Practice address
5954 Route 25a
Wading River, NY 11792-2001
Phone
(631) 473-4263
Fax
(631) 473-4260
NPI assigned
Feb 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2019

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

Authorized official

Name
Dr. Teresa Aimee Habacker, M.D.
Title
Owner
Phone
(631) 473-4263

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X 184539-1 NY Primary

Addresses

Primary practice location

5954 Route 25a
Wading River, NY 11792-2001

Mailing address

5954 Route 25a
Wading River, NY 11792-2001
Phone (631) 473-4263

Other names 1

  • d/b/a East End Hand Surgery Doing business as

National Provider Directory

National Provider Directory

Locations

12 Elm St
Port Jefferson, NY 11777
Phone (631) 473-6626

656 Main St
#1
Port Jefferson, NY 11777
Phone (631) 473-4263

5954 Route 25A
Wading River, NY 11792
Phone (631) 473-4263

NPI Registry JSON

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

{
    "created_epoch": "1266537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557360000000",
    "number": "1689996563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5954 ROUTE 25A",
            "city": "WADING RIVER",
            "state": "NY",
            "postal_code": "117922001",
            "telephone_number": "631-473-4263",
            "fax_number": "631-473-4260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5954 ROUTE 25A",
            "city": "WADING RIVER",
            "state": "NY",
            "postal_code": "117922001",
            "telephone_number": "631-473-4263",
            "fax_number": "631-473-4260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERESA A. HABACKER, M.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-19",
        "last_updated": "2019-05-09",
        "status": "A",
        "authorized_official_last_name": "HABACKER",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "AIMEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-473-4263",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "184539-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "d/b/a East End Hand Surgery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "d/b/a East End Hand Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wading River, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.