Active NPI
Travis Leon Pearson, MD, MPH
- Student in an Organized Health Care Education/Training Program
- New York, NY
National Provider Identifier
1396365276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 11 Park PL Ste 1200
New York, NY 10007-2823 - Phone
- (212) 226-7666
- Fax
- (212) 202-7988
- NPI assigned
- Apr 21, 2020
- Last updated
- Jun 22, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
11 Park PL Ste 1200
New York, NY 10007-2823
Mailing address
11 Park PL Ste 1200
New York, NY 10007-2823
Phone (212) 226-7666
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tribeca Pediatrics | Past | Accepting new patients | |
| Tribeca Pediatrics, PLLC | Past | Accepting new patients |
Interoperability endpoints
- tpearson837460@direct.hfhs.org
Organizations & group practices 2
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.
-
- Pediatric Adolescent Medicine Physician
- New York, NY
- NPI 1588635171
-
- Pediatrics Physician
- Jersey City, NJ
- NPI 1356000160
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687392000000",
"number": "1396365276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 PARK PL STE 1200",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100072823",
"telephone_number": "212-226-7666",
"fax_number": "212-202-7988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 PARK PL STE 1200",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100072823",
"telephone_number": "212-226-7666",
"fax_number": "212-202-7988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEARSON",
"first_name": "TRAVIS",
"middle_name": "LEON",
"credential": "MD, MPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-04-21",
"last_updated": "2023-06-22",
"certification_date": "2023-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.