Individual provider Active NPI

Theo Trandafirescu

  • Pulmonary Disease Physician
  • Bayside, NY
National Provider Identifier
1154490514
Registry record updated Sep 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
230548 Issued in NY
Practice address
216 -16 Union Tpke
Bayside, NY 11367
Phone
(718) 465-4000
Fax
(718) 776-6823
NPI assigned
Nov 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X 230548 NY Primary

Addresses

Primary practice location

216 -16 Union Tpke
Bayside, NY 11367

Mailing address

13856 78TH Dr
Kew Gardens Hills, NY 11367-3238
Phone (718) 465-4000

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041227000296 NY Practitioner - Internal MedicinePractitioner - Pulmonary Disease 5890753651 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1995
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

216 16 Union Tpke
Bayside, NY 11364-3525

21616 Union Tpke
Bayside, NY 11364-3525
Phone (718) 465-4000

6333 98TH PL
Suite 1C
Rego Park, NY 11374-2317
Phone (718) 465-4000

Hospital & facility affiliations

  • Queens Hospital Center Hospital, Jamaica, NY, CCN 330231

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
230548NYMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Mount Vernon Hospital Single Specialty Past Accepting new patients
New York City Health and Hospitals Corporation Single Specialty Past Accepting new patients

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: ttrandafirescu15674@nychhc.direct-ci.com
  • Direct secure messaging: theo.trandafirescu@trandafirescumedicalservic.ehi.direct-ci.com

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1154490514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13856 78TH DR",
            "city": "KEW GARDENS HILLS",
            "state": "NY",
            "postal_code": "113673238",
            "telephone_number": "718-465-4000",
            "fax_number": "718-776-6823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 -16 UNION TPKE",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "11367",
            "telephone_number": "718-465-4000",
            "fax_number": "718-776-6823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRANDAFIRESCU",
        "first_name": "THEO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "230548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayside, NY

Sources for this page

Verify at the official NPI Registry.