Active NPI
Triumph Medical Care P.L.L.C.
- Psychiatry Physician
- Rockville Centre, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 262842
- Legal business name
- TRIUMPH MEDICAL CARE P.L.L.C.
- Practice address
- 165 N Village Ave
Suite 135
Rockville Centre, NY 11570-3761 - Phone
- (516) 255-3773
- Fax
- (516) 255-3778
- NPI assigned
- Feb 21, 2014
- 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
- Omanamhe Masagbor, M.D.
- Title
- M.D.
- Phone
- (516) 255-3773
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 262842 | NY | Primary |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 262842 | NY | |
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | 262842 | NY |
Addresses
Primary practice location
165 N Village Ave
Suite 135
Rockville Centre, NY 11570-3761
Mailing address
165 N Village Ave
Suite 135
Rockville Centre, NY 11570-3761
Phone (516) 255-3773
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
165 N Village Ave
Ste 135
Rockville Centre, NY 11570
Phone (516) 255-3773
165 N Village Ave
Ste 140
Rockville Ctr, NY 11570
Phone (516) 255-3773
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Rockville Centre, NY
- NPI 1780814681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392940800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1393286400000",
"number": "1770908162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "165 N VILLAGE AVE",
"address_2": "SUITE 135",
"city": "ROCKVILLE CENTRE",
"state": "NY",
"postal_code": "115703761",
"telephone_number": "516-255-3773",
"fax_number": "516-255-3778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "165 N VILLAGE AVE",
"address_2": "SUITE 135",
"city": "ROCKVILLE CENTRE",
"state": "NY",
"postal_code": "115703761",
"telephone_number": "516-255-3773",
"fax_number": "516-255-3778"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRIUMPH MEDICAL CARE P.L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2014-02-21",
"last_updated": "2014-02-25",
"status": "A",
"authorized_official_last_name": "MASAGBOR",
"authorized_official_first_name": "OMANAMHE",
"authorized_official_title_or_position": "M.D.",
"authorized_official_telephone_number": "516-255-3773",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "262842",
"primary": true
},
{
"code": "2084P0804X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "NY",
"license": "262842",
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "NY",
"license": "262842",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockville Centre, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.