Organization Active NPI

Tri-Tech Health LLC

  • Specialist
  • Sunrise, FL
National Provider Identifier
1699968669
Registry record updated Oct 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
TRI-TECH HEALTH LLC
Practice address
4577 N Nob Hill Rd Ste 212
Sunrise, FL 33351-4715
Phone
(954) 634-6400
Fax
(954) 634-6444
NPI assigned
Aug 23, 2007
Last updated
Oct 15, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2020

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

Authorized official

Name
William Tushinski
Title
President
Phone
(954) 634-6400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

4577 N Nob Hill Rd Ste 212
Sunrise, FL 33351-4715

Mailing address

4577 N Nob Hill Rd Ste 212
Sunrise, FL 33351-4715
Phone (954) 634-6400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20081113000487 FL Part B Supplier - Clinic/Group Practice 8123192408 Practice locations: Sunrise, FL
O20201111000473 PA Part B Supplier - Clinic/Group Practice 8123192408 Receives reassigned benefits from 3 practitioners
Practice locations: Philadelphia, PA

National Provider Directory

National Provider Directory

Locations

205 N Columbus Blvd Ste 7
Philadelphia Central
Philadelphia, PA 19106
Phone (954) 634-6400

Practitioners & affiliated clinicians

Practitioners 7

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": "1187827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602720000000",
    "number": "1699968669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4577 N NOB HILL RD STE 212",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333514715",
            "telephone_number": "954-634-6400",
            "fax_number": "954-634-6444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4577 N NOB HILL RD STE 212",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333514715",
            "telephone_number": "954-634-6400",
            "fax_number": "954-634-6444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-TECH HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-23",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A",
        "authorized_official_last_name": "TUSHINSKI",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-634-6400"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2020; 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.