Active NPI
Michael Trimba MD PC
- Interventional Pain Medicine Physician
- Flushing, NY
National Provider Identifier
1720036338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- 210710
- Legal business name
- MICHAEL TRIMBA MD PC
- Practice address
- 14351 Roosevelt Ave
G1
Flushing, NY 11354-6155 - Phone
- (718) 332-2111
- Fax
- (718) 332-0180
- NPI assigned
- May 5, 2006
- 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
- Michael Trimba, MD
- Title
- President
- Phone
- (718) 332-2111
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 225644 | NY | |
| Interventional Pain Medicine Physician | 208VP0014X | 210710 | NY | Primary |
Addresses
Primary practice location
14351 Roosevelt Ave
G1
Flushing, NY 11354-6155
Mailing address
71 5TH Ave
Bay Shore, NY 11706-7306
Phone (631) 665-2421
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05968 | Other | NY | GHI MEDICARE |
National Provider Directory
National Provider DirectoryLocations
71 5th Ave
Bay Shore, NY 11706
Phone (631) 665-2421
16410 Northern Blvd
Flushing, NY 11358
Phone (347) 684-8241
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Interventional Pain Medicine Physician
- Brooklyn, NY
- NPI 1396725081
Physical Medicine & Rehabilitation
-
- Acupuncturist
- Flushing, NY
- NPI 1619117280
-
- Physical Medicine & Rehabilitation Physician
- Bay Shore, NY
- NPI 1306894621
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1209686400000",
"number": "1720036338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "71 5TH AVE",
"city": "BAY SHORE",
"state": "NY",
"postal_code": "117067306",
"telephone_number": "631-665-2421",
"fax_number": "631-665-3416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14351 ROOSEVELT AVE",
"address_2": "G1",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113546155",
"telephone_number": "718-332-2111",
"fax_number": "718-332-0180"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHAEL TRIMBA MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-05",
"last_updated": "2008-05-02",
"status": "A",
"authorized_official_last_name": "TRIMBA",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-332-2111",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": "NY",
"license": "225644",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "NY",
"license": "210710",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI MEDICARE",
"identifier": "05968",
"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 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.