Teresa M Goncalves, ANP-C

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

F303858-1 Issued in NY

Practice address

500 Commack Road Suite 204
World Trade Center Health Program
Commack, NY 11725

Phone

(631) 638-0322

Fax

(631) 630-6297

NPI assigned

Jun 6, 2008

Last updated

May 8, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: teresa.hunt-goncalves@direct.stonybrookmedicine.edu

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.

• East Coast Gastroenterology and Endoscopy PC

  • Gastroenterology Physician
  • Patchogue, NY
  • NPI 1518459569
  Medicare reassignment NPD
• University Hospital at Stony Brook

  • General Acute Care Hospital
  • Stony Brook, NY
  • NPI 1972523348
  NPD

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

{
    "created_epoch": "1212710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494201600000",
    "number": "1760641484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 COMMACK ROAD SUITE 204",
            "address_2": "WORLD TRADE CENTER HEALTH PROGRAM",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "11725",
            "telephone_number": "631-638-0322",
            "fax_number": "631-630-6297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 COMMACK ROAD SUITE 204",
            "address_2": "WORLD TRADE CENTER HEALTH PROGRAM",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "11725",
            "telephone_number": "631-638-0322",
            "fax_number": "631-630-6297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONCALVES",
        "first_name": "TERESA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "ANP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-06",
        "last_updated": "2017-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NY",
            "license": "F303858-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Goldman, PSY.D.
• Victoria Leigh Goldson, PT
• Karah Goldstein, MHC-LP
• Susan Amy Goldstein, MS SPECIAL ED.
• Ivette G Gomez, RN
• Melissa Gordillo-Gomez, MHC-LP
• Donna Lee Gordon, CPHT
• Steven Gordon, LCSWR
• Julie Beth Gorowitz, LAC.
• Richard W Gotlib, MD

• Acute Care Nurse Practitioner in Commack, NY
• Providers in Commack, NY by specialty
• Acute Care Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.