Individual provider Active NPI

Annmarie Tromba, DO

  • Psychiatry Physician
  • West Brentwood, NY
National Provider Identifier
1386782704
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
229824 Issued in NY
Practice address
998 Crooked Hill Road, Building 56
Pilgrim State Psychiatric Center
West Brentwood, NY 11717
Phone
(631) 701-2574
Fax
(631) 761-2282
NPI assigned
Feb 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 229824 NY Primary

Addresses

Primary practice location

998 Crooked Hill Road, Building 56
Pilgrim State Psychiatric Center
West Brentwood, NY 11717

Mailing address

998 Crooked Hill Road, Building 56
Pilgrim State Psychiatric Center
West Brentwood, NY 11717
Phone (631) 701-2574

Other names 1

  • Dr. Annmarie Siano Former name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160301001422 NY Order and Referring Only - PsychiatryPractitioner - Psychiatry 5799968756

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1386782704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "998 CROOKED HILL ROAD, BUILDING 56",
            "address_2": "PILGRIM STATE PSYCHIATRIC CENTER",
            "city": "WEST BRENTWOOD",
            "state": "NY",
            "postal_code": "11717",
            "telephone_number": "631-701-2574",
            "fax_number": "631-761-2282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "998 CROOKED HILL ROAD, BUILDING 56",
            "address_2": "PILGRIM STATE PSYCHIATRIC CENTER",
            "city": "WEST BRENTWOOD",
            "state": "NY",
            "postal_code": "11717",
            "telephone_number": "631-701-2574",
            "fax_number": "631-761-2282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROMBA",
        "first_name": "ANNMARIE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-01",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "229824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNMARIE",
            "last_name": "SIANO",
            "prefix": "DR.",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Brentwood, NY

Sources for this page

Verify at the official NPI Registry.