Organization Active NPI

Tri Care Midwood LLC

  • Home Health Agency
  • Brooklyn, NY
National Provider Identifier
1801272745
Registry record updated Aug 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
TRI CARE MIDWOOD LLC
Practice address
1794 Coney Island Ave
Brooklyn, NY 11230-6502
Phone
(718) 787-0170
NPI assigned
Aug 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2015

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

Authorized official

Name
Aj Weiss
Title
Finance
Phone
(718) 670-6300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1794 Coney Island Ave
Brooklyn, NY 11230-6502

Mailing address

3001 Avenue M
Brooklyn, NY 11210-4744

National Provider Directory

National Provider Directory

Locations

3001 Avenue M
Brooklyn, NY 11210

NPI Registry JSON

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

{
    "created_epoch": "1438560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438560000000",
    "number": "1801272745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 AVENUE M",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112104744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1794 CONEY ISLAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112306502",
            "telephone_number": "718-787-0170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI CARE MIDWOOD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-03",
        "last_updated": "2015-08-03",
        "status": "A",
        "authorized_official_last_name": "WEISS",
        "authorized_official_first_name": "AJ",
        "authorized_official_title_or_position": "FINANCE",
        "authorized_official_telephone_number": "718-670-6300"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2015; 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.