Gerard Tepedino

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

221425 Issued in NY

Practice address

1129 Northern Blvd
Suite 101
Manhasset, NY 11030-3045

Phone

(516) 365-5570

Fax

(516) 365-5532

NPI assigned

Jul 26, 2006

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

Medicare fee-for-service enrollment

Enrolled in NY

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 1

Specialty

NephrologyAlso: Internal Medicine

Education

New York University School of Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Prine Health Medical Group, PLLCGroup PAC ID 1557600384, 77 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• DaVita Port Washington Dialysis Center Dialysis facility, Port Washington, NY, CCN 332591
• DaVita Little Neck Dialysis Dialysis facility, Little Neck, NY, CCN 332500
• Atlantic DMS - New Hyde Park Hillside Ave Dialysis facility, New Hyde Park, NY, CCN 332620
• St Francis Hospital - the Heart Center Hospital, Roslyn, NY, CCN 330182
• North Shore University Hospital Hospital, Manhasset, NY, CCN 330106
• Long Island Jewish Medical Center Hospital, New Hyde Park, NY, CCN 330195

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Healthfirst Medicare Network H3359

Interoperability endpoints

• Direct secure messaging: gtepedino@prine.curemd.direct-ci.com

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.

• Prine Health Medical Group, PLLC

  • Nephrology Physician
  • Manhasset, NY
  • NPI 1144790163
  Medicare reassignment Care Compare group NPD
• Prine Health Medical Group, PLLC

  • Podiatrist
  • Hicksville, NY
  • NPI 1538868336
  NPD
• Prine Health Medical Group, PLLC

  • Podiatrist
  • Rockville Centre, NY
  • NPI 1053267369
  NPD (past)

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

• True North Dialysis Center LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Little Neck, NY
  • NPI 1366021479

  Dialysis facility

  Care Compare affiliation Name & address match
• Long Island Jewish Medical Center

  • General Acute Care Hospital
  • New Hyde Park, NY
  • NPI 1285641514
  Care Compare affiliation
• North Shore University Hospital

  • General Acute Care Hospital
  • Manhasset, NY
  • NPI 1366459570
  Care Compare affiliation
• St. Francis Hospital

  • General Acute Care Hospital
  • Roslyn, NY
  • NPI 1043279565
  Care Compare affiliation

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360627200000",
    "number": "1841214756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1129 NORTHERN BLVD",
            "address_2": "SUITE 101",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303045",
            "telephone_number": "516-365-5570",
            "fax_number": "516-365-5532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1129 NORTHERN BLVD",
            "address_2": "SUITE 101",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303045",
            "telephone_number": "516-365-5570",
            "fax_number": "516-365-5532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEPEDINO",
        "first_name": "GERARD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2013-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "221425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Teague
• Carlos Alberto Tejera, M.D., F.A.P.A.
• Blanche Meredith Telesford, M.D.
• Edgar Tello Ruiz, MD
• William J Tenet, M.D.
• Jacob Ian Teperman, MD
• Annalisa Termini, PT,DPT
• Matthew Terrono
• Treyc Jacquise Terry, MD
• Bessy E Thangavelu, FNP

• Nephrology Physician in Manhasset, NY
• Providers in Manhasset, NY by specialty
• Nephrology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2013; 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.

Verify at the official NPI Registry.