Organization Active NPI

Tribeca Internal Medicine & Infectious Diseases

  • Infectious Disease Physician
  • New York, NY
National Provider Identifier
1477745743
Registry record updated Aug 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
179207 Issued in NY
Legal business name
TRIBECA INTERNAL MEDICINE & INFECTIOUS DISEASES
Practice address
122 Fulton St FL 4
New York, NY 10038-2765
Phone
(212) 374-2145
Fax
(212) 374-2159
NPI assigned
Aug 10, 2007
Last updated
Aug 10, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2007

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

Authorized official

Name
Christopher Busillo, MD
Title
Physician
Phone
(212) 374-2145

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 179207 NY Primary

Addresses

Primary practice location

122 Fulton St FL 4
New York, NY 10038-2765

Mailing address

122 Fulton St FL 4
New York, NY 10038-2765
Phone (212) 374-2145

Other identifiers 1

IdentifierTypeStateIssuer
179207OtherNYLICENSE

National Provider Directory

National Provider Directory

Locations

19 Beekman St
Fl 6
New York, NY 10038
Phone (212) 349-8455

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186704000000",
    "number": "1477745743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 FULTON ST FL 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100382765",
            "telephone_number": "212-374-2145",
            "fax_number": "212-374-2159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 FULTON ST FL 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100382765",
            "telephone_number": "212-374-2145",
            "fax_number": "212-374-2159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIBECA INTERNAL MEDICINE & INFECTIOUS DISEASES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-10",
        "last_updated": "2007-08-10",
        "status": "A",
        "authorized_official_last_name": "BUSILLO",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "212-374-2145",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NY",
            "license": "179207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "179207",
            "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 Aug 10, 2007; 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.