Organization Active NPI

Triangle Medical, PC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Massapequa, NY
National Provider Identifier
1528384872
Registry record updated Apr 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
199041 Issued in NY
Legal business name
TRIANGLE MEDICAL, PC
Practice address
100 Hicksville Rd
Massapequa, NY 11758-5823
Phone
(516) 799-5407
Fax
(516) 799-5452
NPI assigned
Apr 12, 2010
Last updated
Apr 12, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2010

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

Authorized official

Name
Dr. Stacey Anne White, D.O.
Title
Owner
Phone
(516) 799-5407

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 199041 NY Primary

Addresses

Primary practice location

100 Hicksville Rd
Massapequa, NY 11758-5823

Mailing address

100 Hicksville Rd
Massapequa, NY 11758-5823
Phone (516) 799-5407

National Provider Directory

National Provider Directory

Locations

100 Hicksville Rd
Massapequa, NY 11758
Phone (516) 799-5407

NPI Registry JSON

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

{
    "created_epoch": "1271030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271030400000",
    "number": "1528384872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HICKSVILLE RD",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117585823",
            "telephone_number": "516-799-5407",
            "fax_number": "516-799-5452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HICKSVILLE RD",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117585823",
            "telephone_number": "516-799-5407",
            "fax_number": "516-799-5452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIANGLE MEDICAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-12",
        "last_updated": "2010-04-12",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-799-5407",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NY",
            "license": "199041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Massapequa, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2010; 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.