Active NPI
Teodorico Arambulo, MD
- Surgery Physician
- Flushing, NY
National Provider Identifier
1710940374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 126401
- Practice address
- 14601 45TH Ave
RM 406
Flushing, NY 11355 - Phone
- (718) 670-5464
- Fax
- (718) 670-4569
- NPI assigned
- Apr 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 126401 | NY | Primary |
Addresses
Primary practice location
14601 45TH Ave
RM 406
Flushing, NY 11355
Mailing address
80 Marcus Dr
Provider Enrollment
Melville, NY 11747-4230
Phone (631) 391-7797
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00250844 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 126401 | NY | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TJH Medical Services, P.C. | Surgery | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1275004800000",
"number": "1710940374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 MARCUS DR",
"address_2": "PROVIDER ENROLLMENT",
"city": "MELVILLE",
"state": "NY",
"postal_code": "117474230",
"telephone_number": "631-391-7797",
"fax_number": "631-454-4163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14601 45TH AVE",
"address_2": "RM 406",
"city": "FLUSHING",
"state": "NY",
"postal_code": "11355",
"telephone_number": "718-670-5464",
"fax_number": "718-670-4569"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARAMBULO",
"first_name": "TEODORICO",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-06",
"last_updated": "2010-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NY",
"license": "126401",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00250844",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.