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THERESA JOYCE HALLORAN
NPI 1750830642
Nurse Practitioner - Family in New York, NY

Active since October 03, 2016PECOS Enrolled
1190 5TH AVE, NEW YORK, NY 10029(212) 427-1540(212) 410-7196 Get Directions Write a Review

NPPES record last updated: May 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Theresa Joyce Halloran NPPES

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

THERESA JOYCE HALLORAN (NPI 1750830642) is an individual family provider in New York, New York, licensed in New York (F339720-1) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1750830642
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTHERESA JOYCE HALLORAN
Location Address1190 5TH AVENew York, NY 10029-6503
Mailing Address1 Gustave L Levy Pl # 1030New York, NY 10029-6504
Phone(212) 427-1540
Fax(212) 410-7196
Sole ProprietorNo
Enumeration DateOctober 3, 2016
Last NPPES UpdateMay 30, 2025
NPPES CertifiedMay 30, 2025
✔ NPI 1750830642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · F339720-1
1190 5TH AVE, New York, NY 10029
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Secondary Practice Locations 2

Location 1381 Cottekill RdStone Ridge, NY 12484-5103 · Phone (845) 594-1639
Location 21 Gustave L Levy PlNew York, NY 10029-6504 · Phone (212) 427-5140 · Fax (212) 410-7196

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Theresa Joyce Halloran is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10029 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AKOSUA AFUMWAA FRIMPONG
Student in an Organized Health Care Education/Training Program
1190 5TH AVE
NEW YORK, NY 10029
New York County (212) 659-6864
OMAR AL DHAYBI M.D.
Internal Medicine (Nephrology)
1190 5TH AVE
NEW YORK, NY 10029
New York County (212) 427-1540
PETER FARIES M.D.
Surgery (Vascular Surgery)
1190 5TH AVE, GP1 1ST FLOOR
NEW YORK, NY 10029
New York County (212) 241-5386
SHREYANS PATEL
Internal Medicine (Cardiovascular Disease)
1190 5TH AVE
NEW YORK, NY 10029
New York County (212) 427-1540
STAMATIOS LERAKIS MD
Internal Medicine (Cardiovascular Disease)
1190 5TH AVE
NEW YORK, NY 10029
New York County (212) 427-1540
DR. ANTHONY JOSEPH SOCHAN MD
Student in an Organized Health Care Education/Training Program
1190 5TH AVE
NEW YORK, NY 10029
New York County (212) 241-6500
MELISSA YEEN FONG LING
Physician Assistant
1190 5TH AVE
NEW YORK, NY 10029
New York County (212) 241-7114
ANNA GARINO NP
Nurse Practitioner (Acute Care)
1190 5TH AVE
NEW YORK, NY 10029
New York County (212) 241-1000

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 Theresa Halloran's NPI number?

The NPI number for Theresa Halloran is 1750830642. It was assigned to this individual provider in the NPPES registry on October 3, 2016.

Where is Theresa Halloran located?

Theresa Halloran practices at 1190 5th Ave, New York, NY 10029. The listed phone number is (212) 427-1540.

What is Theresa Halloran's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Theresa Halloran enrolled in Medicare?

Yes. Theresa Halloran is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Theresa Halloran was last updated on May 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.