Triboro Pediatrics PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

TRIBORO PEDIATRICS PC

Practice address

3540 82ND St
Suite D
Jackson Heights, NY 11372-5105

Phone

(718) 507-5800

Fax

(718) 507-1017

NPI assigned

Dec 7, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Abe Roa, MD

Title

Owner

Phone

(718) 507-5800

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1449446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449446400000",
    "number": "1043685787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3540 82ND ST",
            "address_2": "SUITE D",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113725105",
            "telephone_number": "718-507-5800",
            "fax_number": "718-507-1017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3540 82ND ST",
            "address_2": "SUITE D",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113725105",
            "telephone_number": "718-507-5800",
            "fax_number": "718-507-1017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIBORO PEDIATRICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-07",
        "last_updated": "2015-12-07",
        "status": "A",
        "authorized_official_last_name": "ROA",
        "authorized_official_first_name": "ABE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-507-5800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mychi Tran
• Alice Trang, R.PH
• Volha Tratseuskaya
• Trestle Care Medical PLLC
• Triboro Pediatrics Medical PC
• Trinidad D Agtarap Nurse Practitioner in Gerontology PLLC
• Trio Urology Associates LLC
• Tristate Pharmacy Inc.
• Athena Tritaris, LMFT
• Jennifer Melissa Trujillo-Armijo

• Pediatrics Physician in Jackson Heights, NY
• Providers in Jackson Heights, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2015; 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.