LARRY TETSOTI MD LLC
NPI 1104067941
Urology in Brooklyn, NY

Active since March 06, 2009
23 BRIGHTON 11TH ST STE 601, BROOKLYN, NY 11235(718) 336-6166 Get Directions Write a Review

NPPES record last updated: December 8, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Larry Tetsoti Md Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LARRY TETSOTI MD LLC (NPI 1104067941) is a healthcare organization registered as an urology in Brooklyn, New York and active in the NPI registry since March 2009. The organization lists Larry Tetsoti, President, as its authorized official.

NPPES Registry Identity

NPI1104067941
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameLARRY TETSOTI MD LLC
Location Address23 BRIGHTON 11TH ST STE 601Brooklyn, NY 11235-5308
Mailing Address23 Brighton 11th St Ste 601Brooklyn, NY 11235-5308 · (718) 336-6166
Organization SubpartNo
Authorized OfficialLarry TetsotiPresident · (917) 443-3603
Enumeration DateMarch 6, 2009
Last NPPES UpdateDecember 8, 2023
NPPES CertifiedDecember 8, 2023
✔ NPI 1104067941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in NY · 214196
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
23 BRIGHTON 11TH ST STE 601, Brooklyn, NY 11235

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Larry Tetsoti Md Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Larry Tetsoti MD LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Urology
NPI 1437104361
23 BRIGHTON 11TH ST STE 601
Brooklyn, NY 11235
(646) 417-4205
✔ PECOS✔ Accepts MedicareSame address
Pathology
NPI 1811917370
2510 30TH AVE
Long Island City, NY 11102
(718) 267-4245
✔ PECOS✔ Accepts Medicare13 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Larry Tetsoti MD LLC's NPI number?

The NPI number for Larry Tetsoti MD LLC is 1104067941. It was assigned to this organization in the NPPES registry on March 6, 2009.

Where is Larry Tetsoti MD LLC located?

Larry Tetsoti MD LLC is located at 23 Brighton 11th St Ste 601, Brooklyn, NY 11235. The listed phone number is (718) 336-6166.

What is Larry Tetsoti MD LLC's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Larry Tetsoti MD LLC enrolled in Medicare?

Yes. Larry Tetsoti MD LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Larry Tetsoti MD LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Larry Tetsoti MD LLC, in Pathology and Urology. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Larry Tetsoti MD LLC was last updated on December 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.