Organization Active NPI

Triboro Care PT PC

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1013104686
Registry record updated Sep 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
027797 Issued in NY
Legal business name
TRIBORO CARE PT PC
Practice address
353 Ocean Ave
Brooklyn, NY 11226-1308
Phone
(718) 940-2100
Fax
(718) 940-1336
NPI assigned
Sep 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. George Fawzi Tawdros, PTNPI 1326243098
Title
Owner
Phone
(212) 686-6700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 027797 NY Primary

Addresses

Primary practice location

353 Ocean Ave
Brooklyn, NY 11226-1308

Mailing address

235 Sheridan Blvd
Mineola, NY 11501-3220
Phone (718) 940-2100

National Provider Directory

National Provider Directory

Locations

3272 Steinway St
Fl 3
Astoria, NY 11103
Phone (718) 278-0734

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190851200000",
    "number": "1013104686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 SHERIDAN BLVD",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115013220",
            "telephone_number": "718-940-2100",
            "fax_number": "718-940-1336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 OCEAN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112261308",
            "telephone_number": "718-940-2100",
            "fax_number": "718-940-1336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIBORO CARE PT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-27",
        "last_updated": "2007-09-27",
        "status": "A",
        "authorized_official_last_name": "TAWDROS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "FAWZI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-686-6700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "027797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.