Tristan Mueck

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

229617 Issued in NY

Practice address

1800 Northern Blvd
Roslyn, NY 11576-1140

Phone

(516) 277-4331

NPI assigned

Apr 30, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1588204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588204800000",
    "number": "1245851203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "462 18TH ST",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "117042206",
            "telephone_number": "516-509-8627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 NORTHERN BLVD",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115761140",
            "telephone_number": "516-277-4331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "462 18th St",
            "address_purpose": "LOCATION",
            "city": "West Babylon",
            "state": "NY",
            "postal_code": "117042206",
            "country_code": "US",
            "telephone_number": "516-509-8627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUECK",
        "first_name": "TRISTAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-30",
        "last_updated": "2020-04-30",
        "certification_date": "2020-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "229617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa A Morelli, FNP-C
• Froylan Jr Moreno, PA-C
• Rhoda Morgan, M.D.
• Move Strong Physical Therapy PC
• Sahar Movtady, D.P.M
• Stefan Milton Muehlbauer, M.D., PHD
• Muhammad Iqbal Medical Services, P.C
• Muhammad Iqbal Medical SVCS PC
• Danielle J Murphy, PA-C
• Katherine Ann Murphy, ANP-C

• Internal Medicine Physician in Roslyn, NY
• Providers in Roslyn, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2020; 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.