BEREDU TERESSA (NPI# 1578912291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578912291 |
| Entity Type | Individual |
| Full Name | BEREDU TERESSA |
| Credential | D.O |
| Practice Address |
301 E Main St Bay Shore NY 11706-8408 |
| Mailing Address |
1337 Manatuck Blvd Bay Shore NY 11706-5409 |
| Practice Telephone | 6319683000 |
| Mailing Telephone | 4434740486 |
| Enumeration Date | 2016-06-03 |
| Last Update Date | 2019-08-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 299390 | NY | Allopathic & Osteopathic Physicians |
| Y | 208M00000X | Hospitalist | 299390 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
301 E MAIN ST |
| City | BAY SHORE |
| State | NY |
| Zip Code | 11706-8408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467053959 | Ebne Rafi | Pharmacist | 301 E Main St, Bay Shore, NY 11706-8408 | 2020-11-03 |
| 1154928711 | Brittany Lee Mulligan | Anesthesiology | 301 E Main St, Bay Shore, NY 11706-8408 | 2020-10-07 |
| 1093322786 | Aliesha Wahab | Pharmacist | 301 E Main St, Bay Shore, NY 11706-8458 | 2020-09-26 |
| 1316553795 | Erica Anne Schott | Pharmacist | 301 E Main St, Bay Shore, NY 11706-8408 | 2020-09-21 |
| 1780296913 | Chelsea Jensen | Physician Assistant | 301 E Main St, Bay Shore, NY 11706-8408 | 2020-08-19 |
| 1669081865 | John William Mcdonnell Jr. | Physician Assistant | 301 E Main St, Bay Shore, NY 11706-8408 | 2020-07-24 |
| 1205445566 | Michele Lisa Guelfi | Local Education Agency (LEA) | 301 E Main St, Bay Shore, NY 11706-8458 | 2020-07-23 |
| 1740899921 | Colleen Stubbs | Nurse Practitioner | 301 E Main St, Bay Shore, NY 11706-8458 | 2020-07-23 |
| 1063030757 | Rigoberto Ventura | Physician Assistant | 301 E Main St, Bay Shore, NY 11706-8408 | 2020-07-08 |
| 1780200709 | Valerie Brooke Matedero | Physician Assistant | 301 E Main St, Bay Shore, NY 11706-8408 | 2020-06-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598394173 | Erin Marie Barlow | Student in an Organized Health Care Education/Training Program | Southside Emergency Department 301 East Main Street, Bay Shore, NY 11706 | 2020-04-06 |
| 1003460890 | Bay Shore Brightwaters Rescue Ambulance Inc. | Ambulance | 911 Aletta Place, Bay Shore, NY 11706 | 2019-07-30 |
| 1861980872 | Raffy Gutman | Student in an Organized Health Care Education/Training Program | Southside Hospital Family Medicine, 301 E Main St, Bay Shore, NY 11706 | 2018-04-25 |
| 1609371004 | Sengal Kelit Alazar | Student in an Organized Health Care Education/Training Program | South Side Hospital Emergency Department - Northwell, 301 East Main Street, Bay Shore, NY 11706 | 2018-03-27 |
| 1780198671 | Stefany Gabriela Armijos | Social Worker | 144 Fifth Ave, Bay Shore, NY 11706 | 2017-11-30 |
| 1417476771 | Jazmin Unda Jimenez | Licensed Practical Nurse | 236 Adams Ave, Bay Shore, NY 11706 | 2017-09-18 |
| 1013436989 | People Pushers LLC | Non-emergency Medical Transport (VAN) | 50 Corbin Ave, Suite D, Bay Shore, NY 11706 | 2017-09-12 |
| 1871011585 | Life Acupuncture & Massage Therapy P.C. | Acupuncturist | 387 East Main Street Suite 104, Bayshore, NY 11706 | 2017-09-01 |
| 1558881458 | Wilda Novembre | Licensed Practical Nurse | 1742 North Thompson Drive, Bayshore, NY 11706 | 2017-06-21 |
| 1194184085 | Georgette Prawl | Nurse's Aide | 54 1st Avenue, Bayshore, NY 11706 | 2016-02-19 |
| Find all providers in zip 11706 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760915730 | Asad Aziz | Hospitalist | 301 E Main St, Bay Shore, NY 11706-8408 | 2017-04-06 |
| 1922551860 | Yuliya Nemchenko | Hospitalist | 301 E Main St, Bay Shore, NY 11706-8408 | 2016-07-27 |
| 1205299435 | Kunal Shah | Hospitalist | 301 E Main St, Bay Shore, NY 11706-8408 | 2016-04-04 |
| 1497170070 | Clarissa Castanon | Hospitalist | 301 E Main St, Bay Shore, NY 11706-8458 | 2014-02-19 |
| 1578801619 | Virginia Elizabeth Gonzalez | Hospitalist | 301 E Main St, Bay Shore, NY 11706-1314 | 2013-01-24 |
| 1073868873 | Kinjal Amit Gosalia | Hospitalist | 301 E Main St, Bay Shore, NY 11706-8408 | 2012-07-17 |
| 1437389467 | Tajammul Shah | Hospitalist | 301 E Main St, Bay Shore, NY 11706-8408 | 2009-07-24 |
| 1366678864 | Kenneth Brian Lee | Hospitalist | 301 E Main St, Bay Shore, NY 11706-8408 | 2009-06-10 |
| 1578726840 | Jason Michael Rosenthal | Hospitalist | 301 E Main St, Bay Shore, NY 11706-8408 | 2008-07-08 |
| 1588720957 | Barry Yee | Hospitalist | 301 E Main St, Bay Shore, NY 11706-8408 | 2006-12-29 |
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| 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.