Maryann Z Trivlis, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

N003929-1 Issued in NY

Practice address

131 Beach 138TH St
Belle Harbor, NY 11694-1337

Phone

(718) 945-0770

Fax

(718) 945-7938

NPI assigned

Jul 19, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H3359

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.

• TBHC Medical Services PC

  • Family Medicine Physician
  • Brooklyn, NY
  • NPI 1508959743
  NPD (past)

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667952000000",
    "number": "1063411288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 BEACH 138TH ST",
            "city": "BELLE HARBOR",
            "state": "NY",
            "postal_code": "116941337",
            "telephone_number": "718-945-0770",
            "fax_number": "718-945-7938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 BEACH 138TH ST",
            "city": "BELLE HARBOR",
            "state": "NY",
            "postal_code": "116941337",
            "telephone_number": "718-945-0770",
            "fax_number": "718-945-7938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIVLIS",
        "first_name": "MARYANN",
        "middle_name": "Z",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-19",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N003929-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00909839",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Tagliavia, PHARM D
• Barbara J, Tawil, LMSW
• Pearl Teitelbaum-Feder, L.C.S.W.
• Marie Thompson, RN
• Amanda M. Trevicano
• Margaret Anne Tumelty, M.S./ OTR/L
• University Physicians of Brooklyn, Inc.
• Katrina Lee Visco, CCC-SLP
• Robert Weingarten, P.T.,C.P.
• Laura Winiarsky, LMSW

• Podiatrist in Belle Harbor, NY
• Providers in Belle Harbor, NY by specialty
• Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.