Trevor Golbourne

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

005726 Issued in NY

Practice address

1000 10TH Ave
10G
New York, NY 10019-1147

Phone

(212) 636-3400

Fax

(212) 636-3296

NPI assigned

Apr 16, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Trevor Golbourne Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205051216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 POWELLS LN",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115901321",
            "telephone_number": "516-445-6128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 10TH AVE",
            "address_2": "10G",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191147",
            "telephone_number": "212-636-3400",
            "fax_number": "212-636-3296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLBOURNE",
        "first_name": "TREVOR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "005726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TREVOR",
            "last_name": "GOLBOURNE",
            "credential": "PA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Robin Stephanie Goland, M.D.
• Alexandra Kerner Golant, M.D.
• Kate Golash, PSY.D.
• Terry Golash, M.D.
• Stuart H Golbey, M.D
• Gold & Silver Aging Home Care 2 Corporation
• Gold & Silver Aging Home Care Inc
• Gold & Silver Aging Home Care Inc
• Sharon Gold Plaue, LCSW
• Gold Standard Physical Therapy Nynj, LLC

• Surgical Physician Assistant in New York, NY
• Providers in New York, NY by specialty
• Surgical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.