Triumph Treatment LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

TRIUMPH TREATMENT LLC

Practice address

309 W Park Ave
Long Beach, NY 11561-3241

Phone

(516) 854-5400

NPI assigned

Feb 25, 2019

Organization subpart

No

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

Authorized official

Name

Edward Rebenwurzel

Title

Director

Phone

(516) 854-5400

Specialties & licenses 2

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1551052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709164800000",
    "number": "1235696337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 W PARK AVE",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115613241",
            "telephone_number": "516-854-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 W PARK AVE",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115613241",
            "telephone_number": "516-854-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIUMPH TREATMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-25",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A",
        "authorized_official_last_name": "REBENWURZEL",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "516-854-5400"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bernadette Rena Torres
• Jennifer Kathleen Traditi, LMHC
• Andrew Trakis, LMSW
• Krista Trinidad, PA-C
• Michael Francis Tripodi
• Eileen Trotta, LMT
• Hannah Tubbs
• Kristen A Tucci
• Ellen M Tully
• Alice Turner, MA. SPED.

• Substance Use Disorder Rehabilitation Clinic/Center in Long Beach, NY
• Providers in Long Beach, NY by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.