Trifecta Health Medical PC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

747423UPD Issued in NY

Legal business name

TRIFECTA HEALTH MEDICAL PC

Practice address

115 Broadway
Ste. 1300
New York, NY 10006-1604

Phone

(212) 233-2830

Fax

(888) 348-5193

NPI assigned

Dec 15, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Edward Fruitman, M.D.

Title

Medical Director

Phone

(212) 233-2830

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Raheej Choudhary

  • Medical Physician Assistant
  • New York, NY
  • NPI 1932737574
  NPD (past)
• Anne Roderick, MSN PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • New York, NY
  • NPI 1114283207
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1323907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323907200000",
    "number": "1740559012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 BROADWAY",
            "address_2": "STE. 1300",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100061604",
            "telephone_number": "212-233-2830",
            "fax_number": "888-348-5193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 BROADWAY",
            "address_2": "STE. 1300",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100061604",
            "telephone_number": "212-233-2830",
            "fax_number": "888-348-5193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIFECTA HEALTH MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-15",
        "last_updated": "2011-12-15",
        "status": "A",
        "authorized_official_last_name": "FRUITMAN",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "212-233-2830",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NY",
            "license": "747423UPD",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Frances Trief, M.D.
• Lena Trieger
• Carolyn Trieu-Chao, RPH
• Lien Trieu, DO
• Lili Trieu, O.D.
• Madison Trifon
• Sladjana Trifunovic, PT
• Joanna Orlins Trigg, LCSW
• Khadijah Triggs-Gomez
• Kaelyn Rae Triggs, PHYSICIAN ASSISTANT

• Adult Mental Health Clinic/Center in New York, NY
• Providers in New York, NY by specialty
• Adult Mental Health Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2011; 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.