Organization Active NPI

Michael Trimba MD PC

  • Interventional Pain Medicine Physician
  • Flushing, NY
National Provider Identifier
1720036338
Registry record updated May 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
210710 Issued in NY
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

Updated by the provider on May 2, 2008

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

Authorized official

Name
Michael Trimba, MDNPI 1396725081
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)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X 225644 NY
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
05968OtherNYGHI MEDICARE

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.