Robert Joseph Terdiman, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

114335 Issued in NY

Practice address

1228 Southern Blvd
Bronx, NY 10469-1014

Phone

(917) 792-7902

NPI assigned

Feb 7, 2010

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

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.

• Astramed Physician PC

  • Ph.D. Medical Genetics
  • Saint Albans, NY
  • NPI 1831243807
  NPD (past)

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

{
    "created_epoch": "1265500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351555200000",
    "number": "1881926418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1228 SOUTHERN BLVD",
            "city": "BRONK",
            "state": "NY",
            "postal_code": "104591014",
            "telephone_number": "917-792-7902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1228 SOUTHERN BLVD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104691014",
            "telephone_number": "917-792-7902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERDIMAN",
        "first_name": "ROBERT",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-07",
        "last_updated": "2012-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "114335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaron Ellis Tepper, M.D.
• Rachel Tepper
• Shifra Tepper, LMSW
• Miku Terai, LCSW
• Rika Terashima, MD
• Carol Terilli, P.T.
• Terrace Acquisition II LLC
• Terrace Healthcare Center, Inc.
• Anthony John Terraciano, MD
• Terrado-Estira Quality Care Practice Inc

• Specialist in Bronx, NY
• Providers in Bronx, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.