Active NPI
Niyati N. Trivedi, M.D.
- Internal Medicine Physician
- Bayside, NY
National Provider Identifier
1013245125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 258689
- Practice address
- 21435 42ND Ave
3Rd Floor
Bayside, NY 11361-2917 - Phone
- (718) 229-4868
- NPI assigned
- Dec 1, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 258689 | NY | Primary |
Addresses
Primary practice location
21435 42ND Ave
3Rd Floor
Bayside, NY 11361-2917
Mailing address
21435 42ND Ave
3Rd Floor
Bayside, NY 11361-2917
Phone (718) 229-4868
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 258689 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Queens Rehabilitation & Diagnostics | Past | Accepting new patients | |
| Neurological Services of Queens, P.C. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Bayside, NY
- NPI 1821181579
-
- Physical Medicine & Rehabilitation Physician
- Bayside, NY
- NPI 1588940464
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306886400000",
"number": "1013245125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21435 42ND AVE",
"address_2": "3RD FLOOR",
"city": "BAYSIDE",
"state": "NY",
"postal_code": "113612917",
"telephone_number": "718-229-4868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21435 42ND AVE",
"address_2": "3RD FLOOR",
"city": "BAYSIDE",
"state": "NY",
"postal_code": "113612917",
"telephone_number": "718-229-4868"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRIVEDI",
"first_name": "NIYATI",
"middle_name": "N.",
"name_prefix": "Miss",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-01",
"last_updated": "2011-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "258689",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bayside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.