NPIMap

Organization Active NPI

Triboro Pediatrics Medical PC

  • Pediatrics Physician
  • Jackson Heights, NY
National Provider Identifier
1912605759
Registry record updated Feb 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
TRIBORO PEDIATRICS MEDICAL PC
Practice address
3540 82ND St Ste 1D
Jackson Heights, NY 11372-5106
Phone
(718) 507-5800
Fax
(718) 507-2154
NPI assigned
Feb 21, 2023
Last updated
Feb 21, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2023

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

Authorized official

Name
Tommy GalanisNPI 1831454552
Title
Owner
Phone
(718) 507-5800

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X Primary

Addresses

Primary practice location

3540 82ND St Ste 1D
Jackson Heights, NY 11372-5106

Mailing address

3540 82ND St Ste 1D
Jackson Heights, NY 11372-5106
Phone (718) 507-5800

National Provider Directory

National Provider Directory

Locations

3540 82nd St
Ste 1D
Jackson Heights, NY 11372
Phone (718) 507-5800

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1676937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676937600000",
    "number": "1912605759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3540 82ND ST STE 1D",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113725106",
            "telephone_number": "718-507-5800",
            "fax_number": "718-507-2154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3540 82ND ST STE 1D",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113725106",
            "telephone_number": "718-507-5800",
            "fax_number": "718-507-2154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIBORO PEDIATRICS MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-21",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A",
        "authorized_official_last_name": "GALANIS",
        "authorized_official_first_name": "TOMMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-507-5800"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2023; 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.