DR. TERESA AIMEE HABACKER (NPI# 1568552115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568552115 |
| Entity Type | Individual |
| Full Name | DR. TERESA AIMEE HABACKER |
| Other Name | TERESA SCHULLY HABACKER |
| Credential | MD |
| Practice Address |
656 Main St Port Jefferson NY 11777-2203 |
| Practice Telephone | 6314734263 |
| Practice Fax Number | 6314734260 |
| Mailing Telephone | 6314734263 |
| Mailing Fax Number | 6314734260 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2014-02-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 184539 | NY | Other Service Providers |
| Y | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
184539 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02925937 | 05 |
| Street Address |
656 MAIN ST |
| City | PORT JEFFERSON |
| State | NY |
| Zip Code | 11777-2203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679118590 | Asnis Dental Pllc | Dentist | 656 Main St, Port Jefferson, NY 11777-2203 | 2019-11-14 |
| 1548573165 | Jennifer Englebright | Dentist | 656 Main St, Port Jefferson, NY 11777-2203 | 2010-07-24 |
| 1013131499 | Christopher William Oglesby | Dentist | 656 Main St, Port Jefferson, NY 11777-2203 | 2007-04-13 |
| 1942425202 | Aimee Zopf | Dentist | 656 Main St, Port Jefferson, NY 11777-2203 | 2007-04-13 |
| 1124242656 | Robert A Silver | Dentist | 656 Main St, Port Jefferson, NY 11777-2203 | 2007-04-13 |
| 1720202179 | Roger A Kleinman | Dentist | 656 Main St, Port Jefferson, NY 11777-2203 | 2007-04-13 |
| 1215151659 | Robert G Williams | Dentist | 656 Main St, Port Jefferson, NY 11777-2203 | 2007-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568088615 | Aqsa Ashraf | Student in an Organized Health Care Education/Training Program | 75 N Country Road Mather Hospital Internal Medicine Res, Port Jefferson, NY 11777 | 2020-06-24 |
| 1366068975 | Manal Ahmad | Student in an Organized Health Care Education/Training Program | 75 N County Rd, Level 2 Cmo Suite, Internal Medicine Re, Mather Hospital, Port Jefferson, NY 11777 | 2020-06-19 |
| 1639794555 | Umair Ahmad Ansari | Student in an Organized Health Care Education/Training Program | 75 N Country Road Mother Hospital, Internal Medicine Re, Level 2 - Cmd Suite, Port Jefferson, NY 11777 | 2020-06-16 |
| 1578188132 | Manasi Sule | Student in an Organized Health Care Education/Training Program | 75 N Country Rd, Mather Hospital, Internal Medicine Res, Port Jefferson, NY 11777 | 2020-06-10 |
| 1508480716 | Imona Subedi | Student in an Organized Health Care Education/Training Program | 75 N Country Road, Level 2 - Cmo Suite, Mather Hospital Internal Medicine Residency Program, Port Jefferson, NY 11777 | 2020-06-03 |
| 1184252108 | Romana Imtiaz Syed | Student in an Organized Health Care Education/Training Program | Liza M Dominioni,mather Hospital,internal Medicine, Residency Program,level 2-cmo Suite,75 N Country Rd, Port Jefferson, NY 11777 | 2020-03-27 |
| 1649807348 | Mustafa Mohammed Abdulsada | Student in an Organized Health Care Education/Training Program | 75 N Country Rd, Ny, Level 2 - Cmo Suite, Port Jefferson, NY 11777 | 2020-03-24 |
| 1184264764 | Girma Moges Gamme | Surgery | 625 Belle Terre Rd, Suite 203 Mather Hospital, Port Jefferson, NY 11777 | 2020-01-10 |
| 1811554637 | Kausar Ali | Nurse Practitioner | 408 Thompson Street, Port Jefferson, NY 11777 | 2019-05-28 |
| 1073097531 | Ministry for Hope, Inc. Montfort Therapeutic Residence | Residential Treatment Facility, Physical Disabilities | 100 Stonyhill Road, Port Jefferson, NY 11777 | 2018-09-20 |
| Find all providers in zip 11777 | ||||
| Taxonomy Code | 207XS0106X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Hand Surgery |
| An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013538909 | Michelle Gerwin Carlson, M.d., P.C. | Orthopaedic Surgery | 523 E 72nd St Rm 4-408, New York, NY 10021-4099 | 2020-05-01 |
| 1285289918 | David Cinats | Orthopaedic Surgery | 6620 Fly Rd Ste 100, East Syracuse, NY 13057-9791 | 2019-08-08 |
| 1184282139 | North Shore-lij Cardiovascular Medicine PC | Orthopaedic Surgery | 788 Harrison Ave, Riverhead, NY 11901-2744 | 2019-06-04 |
| 1215426390 | Kristen Alexander | Orthopaedic Surgery | 525 E 71st St Ofc 2, New York, NY 10021-4839 | 2018-05-04 |
| 1013437078 | Ari Mayerfield, M.d.f.a.c.s, Pllc | Orthopaedic Surgery | 1978 Crompond Rd Ste 102, Cortlandt Manor, NY 10567-4114 | 2017-06-21 |
| 1255787743 | Highline Orthopaedics | Orthopaedic Surgery | 16 Park Place, New York, NY 10007 | 2016-05-13 |
| 1639587504 | New York Hand Surgery P.C. | Orthopaedic Surgery | 330 9th St Apt 1, Brooklyn, NY 11215-4026 | 2014-07-23 |
| 1821387085 | Steven Michael Koehler | Orthopaedic Surgery | 450 Clarkson Ave # Msc30, Brooklyn, NY 11203-2012 | 2011-03-28 |
| 1295969046 | Andrew Joseph Leo | Orthopaedic Surgery | 517 Route 111, 3rd Fl Ste 3b, Hauppauge, NY 11788 | 2009-05-08 |
| 1063615763 | Farouq Al-khalidi | Orthopaedic Surgery | 4500 Vestal Rd, Vestal, NY 13850-3535 | 2007-06-08 |
| Find all providers with the same taxonomy | ||||
| City | PORT JEFFERSON |
| Zip Code | 11777 |
Please comment or provide details below to improve the information on DR. TERESA AIMEE HABACKER.
| 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.