Organization Active NPI

Triborough Gastroenterology Health PLLC

  • Gastroenterology Physician
  • Brooklyn, NY
National Provider Identifier
1447916101
Registry record updated Nov 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
TRIBOROUGH GASTROENTEROLOGY HEALTH PLLC
Practice address
1672 Sheepshead Bay Rd
Brooklyn, NY 11235-3803
Phone
(718) 332-0600
NPI assigned
Nov 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2021

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

Authorized official

Name
Alexander Brun
Title
MD
Phone
(718) 450-4870

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

1672 Sheepshead Bay Rd
Brooklyn, NY 11235-3803

Mailing address

1672 Sheepshead Bay Rd
Brooklyn, NY 11235-3803
Phone (718) 332-0600

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1637020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637020800000",
    "number": "1447916101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1672 SHEEPSHEAD BAY RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353803",
            "telephone_number": "718-332-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1672 SHEEPSHEAD BAY RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353803",
            "telephone_number": "718-332-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIBOROUGH GASTROENTEROLOGY HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-16",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-16",
        "status": "A",
        "authorized_official_last_name": "BRUN",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "718-450-4870"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2021; 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.