Active NPI
Ephrem Regassa Teklemariam
- Neurology Physician
- Albany, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- MD470281
- Practice address
- 47 New Scotland Avenue Dept. of Medicine
Albany, NY 12208 - Phone
- (571) 275-3256
- NPI assigned
- Apr 8, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | MD470281 | PA | Primary |
Addresses
Primary practice location
47 New Scotland Avenue Dept. of Medicine
Albany, NY 12208
Mailing address
47 New Scotland Avenue Dept. of Medicine
Albany, NY 12208
Phone (571) 275-3256
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 63810 | Other | NY | DEPARTMENT ID NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Albany Medical College of Union University, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
30 Prospect Ave
Hackensack, NJ 07601-1915
Hospital & facility affiliations
- Jersey Shore University Medical Center
- Ocean Medical Center
- Riverview Medical Center
- Southern Ocean Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current | Accepting new patients | |
| Main Line Healthcare | Neurology | Current | Accepting new patients |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current | Accepting new patients |
Locations
30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066
1 Riverview Plz
Red Bank, NJ 07701
Phone (732) 530-2204
1945 State Route 33
Wall Township, NJ 07753
Phone (732) 776-2333
830 Old Lancaster Rd
Ste 108
Bryn Mawr, PA 19010
Phone (610) 520-5200
3803 West Chester Pike
Ste 160
Newtown Square, PA 19073
Phone (484) 337-1530
100 E Lancaster Ave
Ste 256
Wynnewood, PA 19096
Phone (484) 572-6300
Interoperability endpoints
- ephrem.teklemariam@direct.hackensackmeridian.org
- https://fhir4.healow.com/fhir/r4/IHJHBD
Organizations & group practices 3
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.
-
- Surgical Critical Care Physician
- Red Bank, NJ
- NPI 1215989249
-
- Durable Medical Equipment & Medical Supplies
- North Bergen, NJ
- NPI 1215734199
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brick, NJ
- NPI 1477065126
-
- General Acute Care Hospital
- Red Bank, NJ
- NPI 1710499462
-
- General Acute Care Hospital
- Neptune, NJ
- NPI 1790297547
-
- General Acute Care Hospital
- Manahawkin, NJ
- NPI 1831601590
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616457600000",
"number": "1821452590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47 NEW SCOTLAND AVENUE DEPT. OF MEDICINE",
"city": "ALBANY",
"state": "NY",
"postal_code": "12208",
"telephone_number": "571-275-3256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "47 NEW SCOTLAND AVENUE DEPT. OF MEDICINE",
"city": "ALBANY",
"state": "NY",
"postal_code": "12208",
"telephone_number": "571-275-3256"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEKLEMARIAM",
"first_name": "EPHREM",
"middle_name": "REGASSA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-04-08",
"last_updated": "2021-03-23",
"certification_date": "2021-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "PA",
"license": "MD470281",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPARTMENT ID NUMBER",
"identifier": "63810",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.