Individual provider Active NPI

Therese Haussner

  • Physician Assistant
  • New York, NY
National Provider Identifier
1992121321
Registry record updated Dec 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
017383-1 Issued in NY
Practice address
525 E 68TH St
New York, NY 10065-4870
Phone
(845) 590-4946
NPI assigned
Mar 10, 2014
Last updated
Dec 1, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA056777 PA
Physician Assistant 363A00000X 017383-1 NY Primary

Addresses

Primary practice location

525 E 68TH St
New York, NY 10065-4870

Mailing address

PO Box 20
Highland Mills, NY 10930-0020
Phone (845) 590-4946

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160420000800 NY Practitioner - Physician Assistant 6002114386 Reassigns benefits to 2 organizations
I20190516002043 NJ Practitioner - Physician Assistant 6002114386 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

20 Prospect Ave
Hackensack, NJ 07601-1997

20 Prospect Ave
Hackensack, NJ 07601-1999

30 Prospect Ave
Hackensack, NJ 07601-1915

50 Craig Rd
Montvale, NJ 07645-1709
Phone (201) 639-6620

650 From Rd
Paramus, NJ 07652-3517

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.33 of 100Reported as group
Quality
66.38
Promoting interoperability
100
Improvement activities
40
Cost
71.39

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
017383NYMDOccupational Therapist
017383-1NYMDPhysician Assistant
MA056777PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Weill Medical College of Cornell CurrentSince Jan 30, 2016 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince May 1, 2023 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince May 1, 2023 Accepting new patients
Rothman Orthopaedics of New York, PLLC CurrentSince Sep 16, 2019 Accepting new patients
Weill Medical College of Cornell CurrentSince Jan 30, 2016 Accepting new patients
Hackensack Meridian Health Medical Group - Complex Care PC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

795 Franklin Ave
Franklin Lks, NJ 07417
Phone (201) 639-6620

20 Prospect Ave
Hackensack, NJ 07601
Phone (201) 996-2816

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

50 Craig Rd
Montvale, NJ 07645
Phone (201) 639-6620

3600 State Route 66
Fl 3
Neptune City, NJ 07753
Phone (732) 807-0463

7650 River Rd
North Bergen, NJ 07047
Phone (201) 464-0008

650 From Rd
Ste 420
Paramus, NJ 07652
Phone (201) 639-6620

520 E 70th St
#651
New York, NY 10021
Phone (212) 746-2385

525 E 68th St
New York, NY 10065
Phone (212) 746-2846

525 E 68th St
#99
New York, NY 10065
Phone (212) 746-2363

658 White Plains Rd
Tarrytown, NY 10591
Phone (888) 636-7840

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1394409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448928000000",
    "number": "1992121321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20",
            "city": "HIGHLAND MILLS",
            "state": "NY",
            "postal_code": "109300020",
            "telephone_number": "845-590-4946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 E 68TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100654870",
            "telephone_number": "845-590-4946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUSSNER",
        "first_name": "THERESE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-10",
        "last_updated": "2015-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA056777",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "017383-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.