Organization Active NPI

Tribeca Internal Medicine & Acupuncture, P.C.

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1609183540
Registry record updated Sep 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
198018 Issued in NY
Legal business name
TRIBECA INTERNAL MEDICINE & ACUPUNCTURE, P.C.
Practice address
84 Bowery Street 4 Floor
New York, NY 10013
Phone
(212) 334-7475
Fax
(315) 282-1066
NPI assigned
Sep 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2010

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

Authorized official

Name
Dr. Dustin Triet Nguyen, MDNPI 1831196898
Title
MD/President
Phone
(212) 334-7475

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 198018 NY Primary

Addresses

Primary practice location

84 Bowery Street 4 Floor
New York, NY 10013

Mailing address

PO Box 1436
New York, NY 10013
Phone (212) 334-7475

Other identifiers 1

IdentifierTypeStateIssuer
01618524MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100920000918 NY Part B Supplier - Clinic/Group Practice 0840315438 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

202 Canal St
Fl 7
New York, NY 10013
Phone (212) 334-7475

84 Bowery
Unit 4
New York, NY 10013
Phone (212) 334-7475

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CFBDAA

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1284336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284336000000",
    "number": "1609183540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1436",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10013",
            "telephone_number": "212-334-7475",
            "fax_number": "316-282-1066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 BOWERY STREET 4 FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10013",
            "telephone_number": "212-334-7475",
            "fax_number": "315-282-1066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIBECA INTERNAL MEDICINE & ACUPUNCTURE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-13",
        "last_updated": "2010-09-13",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_middle_name": "TRIET",
        "authorized_official_title_or_position": "MD/PRESIDENT",
        "authorized_official_telephone_number": "212-334-7475",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "198018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01618524",
            "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 Sep 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.