Fassil Teffera, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

196877 Issued in NY

Practice address

2426 Eastchester Rd
#101
Bronx, NY 10469

Phone

(718) 708-4726

Fax

(718) 708-7599

NPI assigned

Oct 9, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Park Avenue Medical Associates, P.C.

  • Geriatric Medicine (Family Medicine) Physician
  • White Plains, NY
  • NPI 1730138645
  NPD (past)

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

{
    "created_epoch": "1128816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321574400000",
    "number": "1801884408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2426 EASTCHESTER RD",
            "address_2": "#101",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104695947",
            "telephone_number": "718-708-4726",
            "fax_number": "718-708-7599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2426 EASTCHESTER RD",
            "address_2": "#101",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10469",
            "telephone_number": "718-708-4726",
            "fax_number": "718-708-7599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEFFERA",
        "first_name": "FASSIL",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-09",
        "last_updated": "2011-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "196877",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01527384",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thashana Ravini Teekah-Samaroo
• Keshav Teelucksingh, MD
• Adisalem Mulatu Teferi, MD
• Henok Mulatu Teferi, MD
• Wondimagegnehu Mulatu Teferi, M.D.
• Deon Li Jiun Teh
• Lisa Teh, PHD
• Ali Tehfe
• Hussein Tehfe
• Mahmoud H Tehfe, RPH

• Internal Medicine Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2011; 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.