Individual provider Active NPI

Teneesha Mariah Stevenson Ash, FNP

  • Family Nurse Practitioner
  • New York, NY
National Provider Identifier
1962185462
Registry record updated Aug 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
351587 Issued in NY
Practice address
622 W 168TH St
New York, NY 10032-3720
Phone
(347) 367-5358
NPI assigned
Aug 10, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2023

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 351587 NY Primary

Addresses

Primary practice location

622 W 168TH St
New York, NY 10032-3720

Mailing address

419 E 93Rd St Apt 15F
New York, NY 10128-6941
Phone (347) 367-5358

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231221002714 NY Practitioner - Nurse Practitioner 4082064647 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Joseph P. Addabbo Family Health Center, Inc.Group PAC ID 0749174654, 30 clinicians

Practice addresses (Care Compare)

11439 Sutphin Blvd
Jamaica, NY 11434-1022
Phone (718) 945-7150

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph P. Addabbo Family Health Center, Inc. CurrentSince Jul 1, 2024 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Nov 21, 2023 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Nov 21, 2023 Accepting new patients
Joseph P. Addabbo Family Health Center, Inc. Current Accepting new patients
Joseph P. Addabbo Family Health Center, Inc. Current Accepting new patients
Joseph P. Addabbo Family Health Center, Inc. CurrentSince Jul 1, 2024 Accepting new patients
Joseph P. Addabbo Family Health Center, Inc. Past Accepting new patients

Locations

6200 Beach Channel Dr
Fl 3
Arverne, NY 11692
Phone (929) 995-0733

6200 Beach Channel Dr
Arverne, NY 11692
Phone (718) 945-2400

120 Richards St
Brooklyn, NY 11231
Phone (718) 834-8202

11439 Sutphin Blvd
Jamaica, NY 11434

622 W 168th St
New York, NY 10032
Phone (212) 305-4931

161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 7

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": "1691625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691625600000",
    "number": "1962185462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 E 93RD ST APT 15F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101286941",
            "telephone_number": "347-367-5358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 W 168TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323720",
            "telephone_number": "347-367-5358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENSON ASH",
        "first_name": "TENEESHA",
        "middle_name": "MARIAH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-10",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "351587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.