Active NPI
Tri-Med Health Pavilion LLC
- Internal Medicine Physician
- Far Rockaway, NY
National Provider Identifier
1134039449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- TRI-MED HEALTH PAVILION LLC
- Practice address
- 1425 Central Ave
Far Rockaway, NY 11691-3938 - Phone
- (516) 342-5755
- NPI assigned
- Sep 9, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Kramer
- Title
- Compliance Officer
- Phone
- (661) 874-8310
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
1425 Central Ave
Far Rockaway, NY 11691-3938
Mailing address
49 Piermont Ave Ste 101
Hewlett, NY 11557-2109
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788912000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788912000000",
"number": "1134039449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "49 PIERMONT AVE STE 101",
"city": "HEWLETT",
"state": "NY",
"postal_code": "115572109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1425 CENTRAL AVE",
"city": "FAR ROCKAWAY",
"state": "NY",
"postal_code": "116913938",
"telephone_number": "516-342-5755"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRI-MED HEALTH PAVILION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-09",
"last_updated": "2026-09-09",
"certification_date": "2026-09-09",
"status": "A",
"authorized_official_last_name": "KRAMER",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "COMPLIANCE OFFICER",
"authorized_official_telephone_number": "661-874-8310"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Far Rockaway, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.