Peter Trivisonno

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

075954 Issued in NY

Practice address

1990 Westchester Ave
Bronx, NY 10462-4553

Phone

(718) 828-0300

NPI assigned

Feb 6, 2018

Last updated

Apr 2, 2018By the provider in NPPES

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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Catholic Guardian Services

  • Clinic/Center
  • Bronx, NY
  • NPI 1588186530
  Medicare reassignment NPD
• The Institute for Family Health

  • Family Medicine Physician
  • New York, NY
  • NPI 1972877017

  Clinical

  NPD (past)

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

{
    "created_epoch": "1517875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522627200000",
    "number": "1366941288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 W 64TH ST APT 4B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100236727",
            "telephone_number": "617-834-9348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1990 WESTCHESTER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104624553",
            "telephone_number": "718-828-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIVISONNO",
        "first_name": "PETER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-02-06",
        "last_updated": "2018-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "075954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prachi Dilipkumar Trivedi, M.B.B.S.
• Roshni Trivedi
• Sanjaykumar Pravinbhai Trivedi, RPH
• Naomi Trivino
• Tiffany Trivino, OTR/L
• Jenesis Troche
• Maria Troche, LCSW
• Lucille M Trocher, PA
• Erasmo Troia, PHARMD
• Emil Trokel, RPH

• Clinical Social Worker in Bronx, NY
• Providers in Bronx, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.