Active NPI
Tribeca Internal Medicine & Infectious Diseases
- Infectious Disease Physician
- New York, NY
National Provider Identifier
1477745743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 179207
- 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, 2007
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 179207 | Other | NY | LICENSE |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Internal Medicine Physician
- New York, NY
- NPI 1942264742
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.