Active NPI
Claude Darryl Tinnin Jr., SUPERVISOR
- Driver
- New York, NY
National Provider Identifier
1437975216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- Practice address
- 124 E 117TH St
New York, NY 10035-4616 - Phone
- (646) 877-7243
- NPI assigned
- Nov 26, 2024
- 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 |
|---|---|---|---|---|
| Driver | 172A00000X | Primary |
Addresses
Primary practice location
124 E 117TH St
New York, NY 10035-4616
Mailing address
124 E 117TH St Apt 3P
New York, NY 10035-4640
Phone (646) 877-7243
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1732579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732665600000",
"number": "1437975216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 E 117TH ST APT 3P",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100354640",
"telephone_number": "646-877-7243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 E 117TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100354616",
"telephone_number": "646-877-7243"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TINNIN",
"first_name": "CLAUDE",
"middle_name": "DARRYL",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "SUPERVISOR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-11-26",
"last_updated": "2024-11-27",
"certification_date": "2024-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"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 Nov 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.