NPIMap

Organization Active NPI

Tri Center, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • New York, NY
National Provider Identifier
1417518416
Registry record updated Jun 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
TRI CENTER, INC.
Practice address
1369 Broadway
New York, NY 10018-7200
Phone
(212) 268-8830
NPI assigned
Jun 21, 2019
Organization subpart
Yes
Parent organization
TRI CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 21, 2019

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

Authorized official

Name
Jose Gonzalez
Title
Pres/Ceo
Phone
(212) 268-8830

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

1369 Broadway
New York, NY 10018-7200

Mailing address

1369 Broadway
New York, NY 10018-7200
Phone (212) 268-8830

Other identifiers 1

IdentifierTypeStateIssuer
01292488MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Tri Center Inc11 organizations share this tax ID, including this one
Part of
Tri Center Inc

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1369 Broadway
New York, NY 10018
Phone (212) 268-8830

NPI Registry JSON

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

{
    "created_epoch": "1561075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561075200000",
    "number": "1417518416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1369 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100187200",
            "telephone_number": "212-268-8830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1369 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100187200",
            "telephone_number": "212-268-8830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRI CENTER, INC.",
        "enumeration_date": "2019-06-21",
        "last_updated": "2019-06-21",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "PRES/CEO",
        "authorized_official_telephone_number": "212-268-8830"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01292488",
            "state": "NY"
        }
    ],
    "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 21, 2019; 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.