TERRYVILLE MEDICAL ASSOCIATES (NPI# 1295714277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295714277 |
| Entity Type | Organization |
| Organization Name | TERRYVILLE MEDICAL ASSOCIATES |
| Practice Address |
116 Terryville Rd Port Jefferson Station NY 11776-1329 |
| Mailing Address |
Po Box 994 Port Jefferson Station NY 11776-0847 |
| Practice Telephone | 6319282002 |
| Practice Fax Number | 6319284934 |
| Mailing Telephone | 6319282002 |
| Mailing Fax Number | 6319284934 |
| Enumeration Date | 2006-01-10 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JOHN BIASETTI (PARTNER) |
| Authorized Official Telephone | 6319282002 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
09600 | NY | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275596447 | Terryville Medical Associates | Internal Medicine | 116 Terryville Rd, Port Jefferson Station, NY 11776-1329 | 2006-04-10 |
| Street Address |
116 TERRYVILLE RD |
| City | PORT JEFFERSON STATION |
| State | NY |
| Zip Code | 11776-1329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639158678 | Richard John Wieting | Internal Medicine | 116 Terryville Rd, Port Jefferson Station, NY 11776-1329 | 2006-01-10 |
| 1043708365 | Michael Gerard Schmit Jr. | Physician Assistant | 116 Terryville Rd, Port Jefferson Station, NY 11776-1329 | 2018-04-23 |
| 1073858742 | Harbor Medical Care PC | Clinic/Center | 116 Terryville Rd, Port Jefferson Station, NY 11776-1329 | 2012-12-06 |
| 1518102854 | Quality Heart Care | Internal Medicine | 116 Terryville Rd, Port Jefferson Station, NY 11776-1329 | 2008-12-15 |
| 1952572117 | Deepa Sangwan | Internal Medicine | 116 Terryville Rd, Port Jefferson Station, NY 11776-1329 | 2008-03-17 |
| 1083728323 | Anil Sangwan | Internal Medicine | 116 Terryville Rd, Port Jefferson Station, NY 11776-1329 | 2006-08-17 |
| 1346280658 | Sanjay Sangwan | Internal Medicine | 116 Terryville Rd, Port Jefferson Station, NY 11776-1329 | 2006-06-07 |
| 1275596447 | Terryville Medical Associates | Internal Medicine | 116 Terryville Rd, Port Jefferson Station, NY 11776-1329 | 2006-04-10 |
| 1912970310 | John P Biasetti | Internal Medicine | 116 Terryville Rd, Port Jefferson Station, NY 11776 | 2006-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205304219 | Melissa E Germano | Acupuncturist | 5225 Nesconset Highway Rte 347, Davis Professional Park Building 1 Suite 1, Port Jefferson Station, NY 11776 | 2018-11-07 |
| 1366962185 | Michael Louis Scicchitano Sr. | Physical Therapist | 3 Colgate Street, Port Jefferson Station, NY 11776 | 2017-06-22 |
| 1063969517 | Dana Adamkiewicz | Acupuncturist | 432 North Bicycle Path, Port Jefferson Station, NY 11776 | 2016-09-01 |
| 1538531819 | Jacqueline Rambo | Specialist | 5225 Nesconset Highway Suite 30, Port Jefferson Station, NY 11776 | 2015-10-26 |
| 1821474297 | Michael Leuci | Social Worker | 3 Premier Court, Port Jefferson Station, NY 11776 | 2015-08-07 |
| 1578978078 | Carol A. Palmer I | Acupuncturist | 34 Champlain St, Port Jefferson Station, NY 11776 | 2014-06-24 |
| 1659783371 | Janette M Sperandeo | Nurse Practitioner | 5 Roosevelt Avenue, Port Jefferson Station, NY 11776 | 2014-05-29 |
| 1578973079 | James Buchrieser | Specialist | 525 Nesconset Highway Suite 30, Port Jefferson Station, NY 11776 | 2014-05-06 |
| 1871923227 | Duran Thomas Murphy | Licensed Practical Nurse | 8 Carolyn Road, Port Jefferson Station, NY 11776 | 2013-11-22 |
| 1699104562 | Julio Genao | Massage Therapist | 213 Jayne Blvd, Portjefferson Station, NY 11776 | 2013-11-01 |
| Find all providers in zip 11776 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316335540 | North Suffolk Neurology, PC | Clinic/Center | 5 Medical Dr, Port Jefferson Station, NY 11776-1601 | 2014-12-22 |
| 1235436130 | Gregory J Diehl Md PC | Clinic/Center | 11 Medical Dr, Suite B, Port Jefferson Station, NY 11776-1589 | 2011-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730704347 | Prestocorp | Clinic/Center | 315 W 36th St Fl 6, New York, NY 10018-6532 | 2020-06-09 |
| 1356977151 | Annie Coburn Kane, Lcsw PC | Clinic/Center | 638 Lake St # 818, Wilson, NY 14172-9600 | 2020-03-12 |
| 1386283695 | Queens Podiatry Pllc | Clinic/Center | 7001 Grand Ave, Maspeth, NY 11378-1820 | 2020-01-03 |
| 1184262255 | Health & Wellness Group Inc | Clinic/Center | 211 Broadway Ste 205, Lynbrook, NY 11563-3290 | 2019-12-19 |
| 1285278606 | Pure Eyecare Optometry P.C. | Clinic/Center | 10537 65th Ave Apt 4d, Forest Hills, NY 11375-1818 | 2019-10-29 |
| 1720629454 | International Travel Medicine, PC | Clinic/Center | 200 S Service Rd Ste 212, Roslyn Hts, NY 11577-2118 | 2019-10-03 |
| 1801446596 | Michael Bassiri-tehrani Md Pllc | Clinic/Center | 61 East 86th St., Practices At 86, New York, NY 10028 | 2019-09-16 |
| 1174178396 | Instant Care Np In Family Health | Clinic/Center | 89 Tennyson Dr, Nanuet, NY 10954-1039 | 2019-08-05 |
| 1811455801 | Five Borough Gastroenterology Medical Pllc | Clinic/Center | 340 W 86th St Apt 1a, New York, NY 10024-3274 | 2019-03-08 |
| 1598259996 | Ds Medical Diagnostics PC | Clinic/Center | 13249 41st Rd Ste 1c, Flushing, NY 11355-4286 | 2018-06-19 |
| Find all providers with the same taxonomy | ||||
| City | PORT JEFFERSON STATION |
| Zip Code | 11776 |
Please comment or provide details below to improve the information on TERRYVILLE MEDICAL ASSOCIATES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.