Trinity Medicine PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

196376 Issued in NY

Legal business name

TRINITY MEDICINE PC

Practice address

15015 41St Ave Ste 2
Flushing, NY 11354-4929

Phone

(718) 321-8522

Fax

(718) 321-8524

NPI assigned

Jan 25, 2014

Last updated

Jan 25, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kamal Aziz Tadros, MD

Title

President

Phone

(718) 321-8522

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1390608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390608000000",
    "number": "1275956310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15015 41ST AVE STE 2",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544929",
            "telephone_number": "718-321-8522",
            "fax_number": "718-321-8524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15015 41ST AVE STE 2",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544929",
            "telephone_number": "718-321-8522",
            "fax_number": "718-321-8524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-25",
        "last_updated": "2014-01-25",
        "status": "A",
        "authorized_official_last_name": "TADROS",
        "authorized_official_first_name": "KAMAL",
        "authorized_official_middle_name": "AZIZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-321-8522",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "196376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1063467546",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Triboro Care PT PC
• Triboro Care PT PC
• Irina Gennadyevna Trifonova, MD
• Jose Boris Vicente Trigueros Montes, MD
• Trinity Medical Healthcare PC
• Trinity Rehab Physical Therapy PC
• Kyle Ryan Tripptree, PA
• Priyank Trivedi, M.D.
• Saahil Trivedi, DDS
• Saloni Trivedi, DDS

• Internal Medicine Physician in Flushing, NY
• Providers in Flushing, 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 Jan 25, 2014; 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.