Active NPI
Trinity Medical Care LLC
- Adult Health Nurse Practitioner
- Perth Amboy, NJ
National Provider Identifier
1710594577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- Legal business name
- TRINITY MEDICAL CARE LLC
- Practice address
- 97 Dally CT
Perth Amboy, NJ 08861-2979 - Phone
- (908) 531-5389
- NPI assigned
- Sep 25, 2020
- 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
- Ebere Aniegbuna, NP
- Title
- Owner
- Phone
- (908) 531-5389
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | Primary |
Addresses
Primary practice location
97 Dally CT
Perth Amboy, NJ 08861-2979
Mailing address
97 Dally CT
Perth Amboy, NJ 08861-2979
Phone (908) 531-5389
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://api.platform.athenahealth.com/26065/brand/1/csg/1/fhir/r4
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.
-
- Adult Health Nurse Practitioner
- Edison, NJ
- NPI 1023599578
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600992000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1600992000000",
"number": "1710594577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "97 DALLY CT",
"city": "PERTH AMBOY",
"state": "NJ",
"postal_code": "088612979",
"telephone_number": "908-531-5389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "97 DALLY CT",
"city": "PERTH AMBOY",
"state": "NJ",
"postal_code": "088612979",
"telephone_number": "908-531-5389"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRINITY MEDICAL CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-09-25",
"last_updated": "2020-09-25",
"certification_date": "2020-09-25",
"status": "A",
"authorized_official_last_name": "ANIEGBUNA",
"authorized_official_first_name": "EBERE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "908-531-5389",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Adult Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Perth Amboy, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.