Individual provider Active NPI

Trisha Alyssa Deonarine

  • Specialist
  • Rego Park, NY
National Provider Identifier
1467339804
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
1923723251 Issued in NY
Practice address
9801 67TH Ave Apt 5B
Rego Park, NY 11374-4931
Phone
(929) 350-8908
NPI assigned
Aug 18, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 1923723251 NY Primary

Addresses

Primary practice location

9801 67TH Ave Apt 5B
Rego Park, NY 11374-4931

Mailing address

9801 67TH Ave Apt 5B
Rego Park, NY 11374-4931
Phone (929) 350-8908

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

State licenses

LicenseStateTypeSpecialty
1923723251NYMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1755475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1467339804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9801 67TH AVE APT 5B",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113744931",
            "telephone_number": "929-350-8908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9801 67TH AVE APT 5B",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113744931",
            "telephone_number": "929-350-8908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEONARINE",
        "first_name": "TRISHA",
        "middle_name": "ALYSSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-18",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "1923723251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rego Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; 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.