KRISTA L TERESAK (PA-C) – Physician Assistant, NPI 1992172969
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,578 PHYSICIAN ASSISTANT in NJ
Provider Addresses for KRISTA L TERESAK (PA-C)
784 Franklin Ave
Suite 250
Franklin Lakes, NJ 074171306
Phone: (201) 560-0712
Type: Location
507 AIRPORT EXECUTIVE PARK
NANUET, NY 109545238
Phone: (845) 262-5313
Fax: (845) 262-5330
Type: Mailing
784 FRANKLIN AVE
SUITE 250
FRANKLIN LAKES, NJ 074171306
Phone: (201) 560-0712
Type: Location
85 S MAPLE AVE
RIDGEWOOD, NJ 074504561
Phone: (201) 445-2830
Fax: (201) 445-7471
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2018-05-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20151029000498 | I | Physician Assistant | NJ | TBD |
| I20180524001991 | I | Physician Assistant | NY | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 07417)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | NJ | |
| Pain Management, Anesthesiology | NJ | |
| Physical Therapist In Private Practice | NJ | |
| Sports Medicine, Family Practice | NJ | |
| Orthopedic Surgery | NJ | |
| Hand Surgery, Orthopedic Surgery | NJ | |
| Physician Assistant | NJ | |
| Physical Therapist In Private Practice | NJ | |
| Occupational Therapist In Private Practice | NJ | |
| Orthopedic Surgery | PA |
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