Organization Active NPI

Tri-County Falls Internal Medicine, P.C.

  • Internal Medicine Physician
  • Glens Falls, NY
National Provider Identifier
1184812208
Registry record updated Mar 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
TRI-COUNTY FALLS INTERNAL MEDICINE, P.C.
Practice address
88 Broad St
Glens Falls, NY 12801-4382
Phone
(518) 793-7741
NPI assigned
Oct 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2009

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

Authorized official

Name
Dr. Bernardo R. Villajaun, M.D.
Title
Managing Partner
Phone
(518) 793-7741

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

88 Broad St
Glens Falls, NY 12801-4382

Mailing address

PO Box 139
Glens Falls, NY 12801-0139
Phone (518) 793-7741

National Provider Directory

National Provider Directory

Locations

88 Broad St
Glens Falls, NY 12801
Phone (518) 793-7741

NPI Registry JSON

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237420800000",
    "number": "1184812208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 139",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128010139",
            "telephone_number": "518-793-7741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 BROAD ST",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128014382",
            "telephone_number": "518-793-7741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-COUNTY FALLS INTERNAL MEDICINE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-15",
        "last_updated": "2009-03-19",
        "status": "A",
        "authorized_official_last_name": "VILLAJAUN",
        "authorized_official_first_name": "BERNARDO",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "518-793-7741",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glens Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2009; 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.