| Gerard Tepedino, | |
|
1129 Northern Blvd, Suite 101, Manhasset, NY 11030-3045 | |
| (516) 365-5570 | |
| (516) 365-5532 |
| Full Name | Gerard Tepedino |
|---|---|
| Gender | Male |
| Speciality | Nephrology |
| Experience | 25 Years |
| Location | 1129 Northern Blvd, Manhasset, New York |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841214756 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RN0300X | Internal Medicine - Nephrology | 221425 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Port Washington Dialysis Center | Port washington, NY | Dialysis facility |
| St Francis Hospital - The Heart Center | Roslyn, NY | Hospital |
| North Shore University Hospital | Manhasset, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Prine Health Medical Group, Pllc | 1557600384 | 71 |
| Entity Name | Prine Health Medical Group, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144790163 PECOS PAC ID: 1557600384 Enrollment ID: O20190222000152 |
| Mailing Address | Practice Location Address |
|---|---|
| Gerard Tepedino, 1129 Northern Blvd, Suite 101, Manhasset, NY 11030-3045 Ph: (516) 365-5570 | Gerard Tepedino, 1129 Northern Blvd, Suite 101, Manhasset, NY 11030-3045 Ph: (516) 365-5570 |
Samit Shah, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 300 Community Dr, Manhasset, NY 11030 Phone: 516-562-1427 | |
William J Berger, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1201 Northern Blvd Ste 201, Manhasset, NY 11030 Phone: 516-488-4428 Fax: 516-328-2723 | |
Lawrence Ong, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: Nsuh Dept Of Medicine Cardiology, 300 Community Drive, Manhasset, NY 11030 Phone: 516-562-4103 | |
Dr. Malcolm E Levine, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 1201 Northern Blvd, Manhasset, NY 11030 Phone: 516-627-1221 Fax: 516-627-6857 | |
Dr. Angela C Kim, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 300 Community Dr, Manhasset, NY 11030 Phone: 516-562-4280 Fax: 516-975-4994 | |
Jose Antonio Hernandez Roman, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 300 Community Drive, Manhasset, Manhasset, NY 11030 Phone: 516-562-0100 Fax: 516-562-3555 | |
Dr. Roseann M Russo, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1165 Northern Blvd, Suite 300, Manhasset, NY 11030 Phone: 516-608-6820 Fax: 516-608-6821 |