Active NPI
Tri Boro Driver Rehabilitation & Mobility Services Inc.
- Vehicle Modifications Contractor
- Brooklyn, NY
National Provider Identifier
1205550860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vehicle Modifications Contractor
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Vehicle Modifications Contractor | 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
National Provider Directory
National Provider DirectoryLocations
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.