NPIMap

Organization Active NPI

Triborough Gi PLLC

  • Gastroenterology Physician
  • Brooklyn, NY
National Provider Identifier
1255711339
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
TRIBOROUGH GI PLLC
Practice address
1517 Voorhies Ave
Brooklyn, NY 11235-3919
Phone
(718) 332-0600
NPI assigned
Jun 4, 2015
Last updated
Jan 25, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

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

Authorized official

Name
Alexander BrunNPI 1164735072
Title
MD
Phone
(718) 332-0600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X NU Primary

Addresses

Primary practice location

1517 Voorhies Ave
Brooklyn, NY 11235-3919

Mailing address

1517 Voorhies Ave
Brooklyn, NY 11235-3919
Phone (718) 332-0600

Other identifiers 1

IdentifierTypeStateIssuer
264831OtherNYLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151013000806 NY Part B Supplier - Clinic/Group Practice 2466761531 Receives reassigned benefits from 32 practitioners
Practice locations: Bronx, NY; Brooklyn, NY; Staten Island, NY

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Triborough Gi PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1672 Sheepshead Bay Rd
Brooklyn, NY 11235
Phone (718) 795-2734

Practitioners & affiliated clinicians

Practitioners 32

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1433376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674604800000",
    "number": "1255711339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1517 VOORHIES AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353919",
            "telephone_number": "718-332-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1517 VOORHIES AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353919",
            "telephone_number": "718-332-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIBOROUGH GI PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-04",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A",
        "authorized_official_last_name": "BRUN",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "718-332-0600"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "264831",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jan 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.