Organization Active NPI

Tri Boro Driver Rehabilitation & Mobility Services Inc.

  • Vehicle Modifications Contractor
  • Brooklyn, NY
National Provider Identifier
1205550860
Registry record updated Sep 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vehicle Modifications ContractorTaxonomy code 171WV0202X
Legal business name
TRI BORO DRIVER REHABILITATION & MOBILITY SERVICES INC.
Practice address
1642 Coney Island Ave
Brooklyn, NY 11230-5808
Phone
(718) 414-2457
NPI assigned
Sep 28, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2022

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

Authorized official

Name
Raanan Zidile
Title
President
Phone
(718) 916-2891

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vehicle Modifications ContractorGroup: 193200000X MULTI-SPECIALTY GROUP 171WV0202X Primary

Addresses

Primary practice location

1642 Coney Island Ave
Brooklyn, NY 11230-5808

Mailing address

1642 Coney Island Ave
Brooklyn, NY 11230-5808
Phone (718) 414-2457

Other names 1

  • Tri Boro Driver Rehab Other name

National Provider Directory

National Provider Directory

Locations

1642 Coney Island Ave
Brooklyn, NY 11230
Phone (347) 352-6622

NPI Registry JSON

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

{
    "created_epoch": "1664323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664323200000",
    "number": "1205550860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1642 CONEY ISLAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112305808",
            "telephone_number": "718-414-2457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1642 CONEY ISLAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112305808",
            "telephone_number": "718-414-2457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI BORO DRIVER REHABILITATION & MOBILITY SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-28",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A",
        "authorized_official_last_name": "ZIDILE",
        "authorized_official_first_name": "RAANAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-916-2891"
    },
    "taxonomies": [
        {
            "code": "171WV0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor, Vehicle Modifications",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tri Boro Driver Rehab",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; 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.