DR. NATASHA A TELLECHEA M.D. NPI 1154419687

NPI Information

NPI: 1154419687
Provider Name: DR. NATASHA A TELLECHEA, M.D.
Classification: Pediatrics - 208000000X
Entity Type: Individual
PECOS Registration: Yes
Address: 380 N BROADWAY
SUITE L2
JERICHO, NY
ZIP 11753
Phone: (516) 931-1776

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NPI Details

DR. Natasha A Tellechea, M.D. is a pediatrics in Jericho, NY. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DR. Natasha A Tellechea, M.D. NPI is 1154419687. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

380 N BROADWAY
SUITE L2
JERICHO, NY
ZIP 11753-109
Phone: (516) 931-1776
Fax: (516) 942-1940

The NPI 1154419687 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/10/2006 and was last updated on 11/12/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		212694	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2C0540	OTHER	NEW YORK	HEALTH NET
2	5228760	OTHER	NEW YORK	AETNA
3	2699157	OTHER	NEW YORK	GHI
4	01927324	MEDICAID	NEW YORK
5	P1842678	OTHER	NEW YORK	OXFORD
6	2H7541	OTHER	NEW YORK	EMPIRE BC/BS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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