Individual provider Active NPI

Eric Teller, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Hackensack, NJ
National Provider Identifier
1700097326
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
25MA07895200 Issued in NJ
Practice address
360 Essex St Ste 401
Hackensack, NJ 07601-8566
Phone
(551) 996-1140
NPI assigned
May 25, 2007
Last updated
Sep 25, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 240297 NY
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 25MA07895200 NJ Primary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 25MA07895200 NJ
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 240297 NY
Pulmonary Disease Physician 207RP1001X 240297 NY

Addresses

Primary practice location

360 Essex St Ste 401
Hackensack, NJ 07601-8566

Mailing address

331 Newman Springs Rd Ste 220
Red Bank, NJ 07701-5792
Phone (732) 807-8077

Other practice location 1

38 E 32nd St
Ste 601
New York, NY 10016-5507
Phone (212) 685-6611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY, NM, TX, IL5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20060202000701 NJ Practitioner - Critical Care (Intensivists)Practitioner - Internal Medicine 3173537735 Reassigns benefits to 5 organizations
I20090810000106 NY Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists)Practitioner - Sleep Medicine 3173537735 Reassigns benefits to 1 organization
I20220901003551 NM Practitioner - Pulmonary Disease 3173537735 Reassigns benefits to 2 organizations
I20221215000238 TX Practitioner - Pulmonary Disease 3173537735 Reassigns benefits to 3 organizations
I20231026001679 IL Practitioner - Critical Care (Intensivists) 3173537735 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rwjbh Observation Associates LLCGroup PAC ID 5193137503, 995 clinicians
Barnabas Health Medical Group PCGroup PAC ID 9537316955, 1,027 clinicians
Pecos Valley of New Mexico LLCGroup PAC ID 2466359781, 33 clinicians

Practice addresses (Care Compare)

1 Clara Maass Dr
Belleville, NJ 07109-3550
Phone (973) 450-2000

235 Millburn Ave
Suite 101
Millburn, NJ 07041-1711
Phone (973) 376-8034

2410 W Pierce St
Carlsbad, NM 88220-3512
Phone (575) 885-0766

2420 W Pierce St
Carlsbad, NM 88220-3518

2428 W Pierce St
Carlsbad, NM 88220-3512
Phone (575) 887-0272

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA07895200NJMDGeriatric Medicine (Internal Medicine) Physician
240297NYMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Access Telecare, PLLC Critical Care Medicine CurrentSince Jul 1, 2021 Accepting new patients
St John's Medical Services PC CurrentSince May 1, 2020 Accepting new patients
Discovery Medical Network Matagorda LLC CurrentSince Aug 31, 2023 Accepting new patients
Regional Employee Assistance Program Inc Geriatric Medicine CurrentSince Aug 5, 2022 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Jul 27, 2024 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC Geriatric Medicine CurrentSince Jul 27, 2024 Accepting new patients
Regional Employee Assistance Program Inc CurrentSince Aug 5, 2022 Accepting new patients
Discovery Medical Network Matagorda, LLC CurrentSince Aug 31, 2023 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Mar 1, 2024 Accepting new patients
Critical Care Physicians of Illinois LLC Critical Care Medicine CurrentSince Sep 16, 2023 Accepting new patients
Hospitalist Physicians of New Jersey PA CurrentSince Dec 16, 2023 Accepting new patients
Regional Employee Assistance Program Inc Pulmonary Disease Current Accepting new patients
Rwjbh Observation Associates LLC CurrentSince Mar 1, 2024 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Mar 1, 2024 Accepting new patients
United Sleep Diagnostics Inc CurrentSince May 1, 2018 Accepting new patients
Pecos Valley of New Mexico, LLC CurrentSince Sep 1, 2022 Accepting new patients
Rutgers Health-RWJ Primary Medicine Group Past Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC PastSince Oct 23, 2022 Accepting new patients

Locations

800 W Central Rd
Arlington Hts, IL 60005
Phone (847) 618-6150

1325 N Highland Ave
Aurora, IL 60506
Phone (630) 801-2756

20201 Crawford Ave
Olympia Flds, IL 60461
Phone (708) 503-3857

1 Clara Maass Dr
Belleville, NJ 07109
Phone (973) 450-2008

65 James St
Edison, NJ 08820
Phone (732) 321-7010

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

360 Essex St
Ste 401
Hackensack, NJ 07601
Phone (551) 996-1140

355 Grand St
Jersey City, NJ 07302
Phone (201) 915-2224

475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

235 Millburn Ave
Ste 101
Millburn, NJ 07041
Phone (973) 376-8034

1 Rwj Pl
New Brunswick, NJ 08901
Phone (732) 235-7887

331 Newman Springs Rd
Ste 220
Red Bank, NJ 07701
Phone (732) 807-0880

110 Rehill Ave
Somerville, NJ 08876
Phone (908) 429-5833

1 Hamilton Health Pl
Trenton, NJ 08690
Phone (609) 584-6763

2420 W Pierce St
Ste 200
Carlsbad, NM 88220
Phone (505) 885-0600

327 Beach 19th St
Far Rockaway, NY 11691
Phone (718) 689-7640

300 Community Dr
Manhasset, NY 11030

120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040

600 Hospital Cir
Bay City, TX 77414
Phone (979) 241-6100

1717 Main St
Ste 5850
Dallas, TX 75201
Phone (469) 694-5512

20171 Chasewood Park Dr
Houston, TX 77070
Phone (713) 355-1000

2555 Jimmy Johnson Blvd
Port Arthur, TX 77640
Phone (409) 724-7389

Interoperability endpoints

  • Direct secure messaging: eric.teller.1@1739.direct.athenahealth.com
  • Direct secure messaging: eric.teller.1@1902.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/14448/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/5673/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1700097326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 NEWMAN SPRINGS RD STE 220",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077015792",
            "telephone_number": "732-807-8077",
            "fax_number": "201-751-1680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 ESSEX ST STE 401",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076018566",
            "telephone_number": "551-996-1140"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "38 E 32nd St",
            "address_2": "STE 601",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100165507",
            "country_code": "US",
            "telephone_number": "212-685-6611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TELLER",
        "first_name": "ERIC",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-25",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NY",
            "license": "240297",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NJ",
            "license": "25MA07895200",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NJ",
            "license": "25MA07895200",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "240297",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "240297",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

Verify at the official NPI Registry.