Active NPI
Kimberly Trinidad, M.D.
- Neurology Physician
- Orchard Park, NY
National Provider Identifier
1902860729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 189349
- Practice address
- 200 Sterling Dr
Suite 300
Orchard Park, NY 14127-1577 - Phone
- (716) 218-1020
- Fax
- (716) 677-4038
- NPI assigned
- Apr 17, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 189349 | NY | Primary |
Addresses
Primary practice location
200 Sterling Dr
Suite 300
Orchard Park, NY 14127-1577
Mailing address
78 New Amsterdam Ave
Buffalo, NY 14216-3307
Phone (716) 876-0284
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000523232010 | Other | NY | BC OF WNY |
| 0506775 | Other | NY | IHA |
| 01353355 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Neurology, Inc. | Neurology | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Neurology Physician
- Buffalo, NY
- NPI 1649293820
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362009600000",
"number": "1902860729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "78 NEW AMSTERDAM AVE",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142163307",
"telephone_number": "716-876-0284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 STERLING DR",
"address_2": "SUITE 300",
"city": "ORCHARD PARK",
"state": "NY",
"postal_code": "141271577",
"telephone_number": "716-218-1020",
"fax_number": "716-677-4038"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRINIDAD",
"first_name": "KIMBERLY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-17",
"last_updated": "2013-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NY",
"license": "189349",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC OF WNY",
"identifier": "000523232010",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IHA",
"identifier": "0506775",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01353355",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orchard Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.