Organization Active NPI

Kiran Trivedi DO PLLC

  • Obstetrics & Gynecology Physician
  • Islip, NY
National Provider Identifier
1205016110
Registry record updated Sep 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
237997-1 Issued in NY
Legal business name
KIRAN TRIVEDI DO PLLC
Practice address
1 Grant Ave
Islip, NY 11751-3543
Phone
(631) 859-1920
Fax
(631) 859-5019
NPI assigned
Nov 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2014

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

Authorized official

Name
Dr. Kiran Trivedi, D.O.
Title
Doctor
Phone
(631) 859-1920

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 237997-1 NY Primary

Addresses

Primary practice location

1 Grant Ave
Islip, NY 11751-3543

Mailing address

26 Railroad Ave # 202
Babylon, NY 11702-2204
Phone (631) 859-1920

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410307200000",
    "number": "1205016110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 RAILROAD AVE # 202",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117022204",
            "telephone_number": "631-859-1920",
            "fax_number": "631-859-5019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GRANT AVE",
            "city": "ISLIP",
            "state": "NY",
            "postal_code": "117513543",
            "telephone_number": "631-859-1920",
            "fax_number": "631-859-5019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRAN TRIVEDI DO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-07",
        "last_updated": "2014-09-10",
        "status": "A",
        "authorized_official_last_name": "TRIVEDI",
        "authorized_official_first_name": "KIRAN",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "631-859-1920",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "237997-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Islip, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2014; 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.