Individual provider Active NPI

Maria A Telesca, FNP

  • Family Nurse Practitioner
  • Stamford, CT
National Provider Identifier
1821313479
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
336232 Issued in NY
Practice address
381 High Ridge Rd
Stamford, CT 06905-3018
Phone
(203) 977-5303
NPI assigned
Apr 6, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 336232 NY Primary

Addresses

Primary practice location

381 High Ridge Rd
Stamford, CT 06905-3018

Mailing address

117 Joffre Ave
Stamford, CT 06905-3318
Phone (914) 557-8633

Other practice location 1

535 E 70th St
New York, NY 10021-4823
Phone (212) 606-1365

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240208001555 CT Practitioner - Nurse Practitioner 5193904928 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Centers Inc. CurrentSince Jan 4, 2024 Accepting new patients
Family Centers Inc Current Accepting new patients
Family Centers Inc CurrentSince Jan 4, 2024 Accepting new patients
Family Centers Inc Past Accepting new patients

Locations

20 Bridge St
Greenwich, CT 06830
Phone (203) 629-2822

111 Wilbur Peck Ct
Greenwich, CT 06830
Phone (203) 717-1760

125 Roxbury Rd
Stamford, CT 06902
Phone (203) 273-3064

Interoperability endpoints

  • Direct secure messaging: mtelesca639790@direct.ynhh.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1270512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1821313479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 JOFFRE AVE",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069053318",
            "telephone_number": "914-557-8633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "381 HIGH RIDGE RD",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069053018",
            "telephone_number": "203-977-5303"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "535 E 70th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100214823",
            "country_code": "US",
            "telephone_number": "212-606-1365",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TELESCA",
        "first_name": "MARIA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-06",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "336232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

Verify at the official NPI Registry.