Individual provider Active NPI

Philippe Gerard Toledo Trabado, NP

  • Adult Health Nurse Practitioner
  • New York, NY
National Provider Identifier
1306588447
Registry record updated Mar 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
310551 Issued in NY
Practice address
214 W Houston St
New York, NY 10014-4846
Phone
(212) 337-9400
NPI assigned
Apr 9, 2022
Last updated
Mar 15, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 310551 NY Primary

Addresses

Primary practice location

214 W Houston St
New York, NY 10014-4846

Mailing address

214 W Houston St
New York, NY 10014-4846
Phone (347) 514-0023

Other practice location 1

4215 81st St Apt 3F
Elmhurst, NY 11373-3120
Phone (718) 877-1302

Other names 1

  • Philippe Trabado Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL ptrabado90@outlook.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220613000332 NY Practitioner - Nurse Practitioner 1557749009 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Houston Medical Consulting PCGroup PAC ID 1951551589, 8 clinicians

Practice addresses (Care Compare)

214 W Houston St
New York, NY 10014-4846
Phone (718) 845-2455

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Houston Medical Consulting PC CurrentSince May 1, 2022 Accepting new patients

Locations

214 W Houston St
New York, NY 10014
Phone (212) 337-9400

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1649462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1306588447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 W HOUSTON ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100144846",
            "telephone_number": "347-514-0023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 W HOUSTON ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100144846",
            "telephone_number": "212-337-9400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4215 81st St Apt 3F",
            "address_purpose": "LOCATION",
            "city": "Elmhurst",
            "state": "NY",
            "postal_code": "113733120",
            "country_code": "US",
            "telephone_number": "718-877-1302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRABADO",
        "first_name": "PHILIPPE GERARD",
        "middle_name": "TOLEDO",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-09",
        "last_updated": "2023-03-15",
        "certification_date": "2022-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "310551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ptrabado90@outlook.com",
            "affiliation": "N",
            "endpointDescription": "Private Work Email Designated for Nurse Practitioner Field",
            "address_1": "4215 81st St Apt 3F",
            "city": "Elmhurst",
            "state": "NY",
            "country_code": "US",
            "postal_code": "113733120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "PHILIPPE",
            "last_name": "TRABADO",
            "credential": "MSN, APRN, AGNP-BC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.