Organization Active NPI

Triboro Care PT PC

  • Specialist
  • Flushing, NY
National Provider Identifier
1871764118
Registry record updated Mar 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
027797 Issued in NY
Legal business name
TRIBORO CARE PT PC
Practice address
13302 41St Ave
Flushing, NY 11355-5848
Phone
(718) 886-1150
Fax
(718) 886-1185
NPI assigned
Mar 14, 2008
Last updated
Mar 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2008

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

Authorized official

Name
George Tawdros, PT
Title
Owner
Phone
(718) 886-1150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 027797 NY Primary

Addresses

Primary practice location

13302 41St Ave
Flushing, NY 11355-5848

Mailing address

235 Sheridan Blvd
Mineola, NY 11501-3220
Phone (718) 886-1150

Other identifiers 2

IdentifierTypeStateIssuer
WYP1P1OtherNYMEDICARE GROUP ID
027797OtherNYLICENSE

National Provider Directory

National Provider Directory
Tax ID family
Triboro Care PT PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1205452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205452800000",
    "number": "1871764118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 SHERIDAN BLVD",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115013220",
            "telephone_number": "718-886-1150",
            "fax_number": "718-886-1185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13302 41ST AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555848",
            "telephone_number": "718-886-1150",
            "fax_number": "718-886-1185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIBORO CARE PT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-14",
        "last_updated": "2008-03-14",
        "status": "A",
        "authorized_official_last_name": "TAWDROS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-886-1150",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "027797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP ID",
            "identifier": "WYP1P1",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "027797",
            "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 Mar 14, 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.