Organization Active NPI

Triborough Medical Urgent Care PC

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1538575642
Registry record updated May 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
201140 Issued in NY
Legal business name
TRIBOROUGH MEDICAL URGENT CARE PC
Practice address
1711 Ralph Ave
Brooklyn, NY 11236-3319
Phone
(718) 649-6356
NPI assigned
Jul 9, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2015

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

Authorized official

Name
Dr. Theophine Abakporo, MD
Title
Medical Director
Phone
(347) 743-3994

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 201140 NY Primary

Addresses

Primary practice location

1711 Ralph Ave
Brooklyn, NY 11236-3319

Mailing address

1711 Ralph Ave
Brooklyn, NY 11236-3319
Phone (718) 649-6356

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1404864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430956800000",
    "number": "1538575642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 RALPH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112363319",
            "telephone_number": "718-649-6356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 RALPH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112363319",
            "telephone_number": "718-649-6356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIBOROUGH MEDICAL URGENT CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-09",
        "last_updated": "2015-05-07",
        "status": "A",
        "authorized_official_last_name": "ABAKPORO",
        "authorized_official_first_name": "THEOPHINE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "347-743-3994",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "201140",
            "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 May 7, 2015; 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.