Active NPI
Teresa a. Habacker, M.D.,P.C.
- Orthopaedic Surgery Physician
- Wading River, NY
National Provider Identifier
1689996563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 184539-1
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 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
National Provider Directory
National Provider DirectoryLocations
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.