Trinity Medical Group PC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

TRINITY MEDICAL GROUP PC

Practice address

104 Vermilyea Ave
Suite B
New York, NY 10034-3209

Phone

(212) 544-8854

Fax

(845) 230-2346

NPI assigned

Oct 26, 2006

Last updated

May 29, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Steve Teni Ayanruoh, MDNPI 1942264510

Title

Ceo

Phone

(212) 544-8854

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Steve Teni Ayanruoh

  • Pediatrics Physician
  • New York, NY
  • NPI 1942264510
  Medicare reassignment NPD Authorized official
• Susan Ayanruoh-Tetteh, FNP

  • Family Nurse Practitioner
  • Bronx, NY
  • NPI 1790121010
  NPD (past)

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243555200000",
    "number": "1841375029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 VERMILYEA AVE",
            "address_2": "SUITE B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100343209",
            "telephone_number": "212-544-8854",
            "fax_number": "845-230-2346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 VERMILYEA AVE",
            "address_2": "SUITE B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100343209",
            "telephone_number": "212-544-8854",
            "fax_number": "845-230-2346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY MEDICAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2009-05-29",
        "status": "A",
        "authorized_official_last_name": "AYANRUOH",
        "authorized_official_first_name": "STEVE",
        "authorized_official_middle_name": "TENI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "212-544-8854",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01621278",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Miguel Trinidad, PTA
• Urayoana Trinidad, L.AC.
• Rebecca Sydney Trinin, LMSW
• Trinity Dental, P.C.
• Trinity Medical Care Ny PLLC
• Trinity Medical Healthcare Service, P.C.
• Rachel Trinker, AUD
• Amber Nicole Trinkle, LMHC
• Molly Faye Trinkoff, L.M.S.W.
• Katie Ann Trinovitch, LMHC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2009; 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.

Verify at the official NPI Registry.