Triborough Gi PLLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

TRIBOROUGH GI PLLC

Practice address

1672 Sheepshead Bay Rd
Brooklyn, NY 11235-3803

Phone

(718) 332-0600

Fax

(718) 332-3262

NPI assigned

Sep 6, 2022

Last updated

Nov 4, 2022By 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

Alexander BrunNPI 1164735072

Title

MD

Phone

(718) 450-4870

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Triborough Gi PLLC

  • Gastroenterology Physician
  • Brooklyn, NY
  • NPI 1255711339

  2466761531

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Triborough Gi PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Triborough Gi PLLC

  • Gastroenterology Physician
  • Brooklyn, NY
  • NPI 1255711339
  NPD tax ID

Locations

Practitioners 32

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.

• Alexander Brun, MD

  • Gastroenterology Physician
  • Brooklyn, NY
  • NPI 1164735072
  NPD Authorized official
• Zoe Abrams

  • Certified Registered Nurse Anesthetist
  • Staten Island, NY
  • NPI 1205358538
  NPD
• Shehzad Ahmed

  • Certified Registered Nurse Anesthetist
  • Staten Island, NY
  • NPI 1235696469
  NPD
• Nancy Chen, MD

  • Gastroenterology Physician
  • Brooklyn, NY
  • NPI 1063742534
  NPD
• Elizabeth A Collier, CRNA

  • Certified Registered Nurse Anesthetist
  • New York, NY
  • NPI 1922349802
  NPD
• Gregory A Garnes, M.D.

  • Anesthesiology Physician
  • Auburn, NY
  • NPI 1033168067
  NPD
• Sheldon Gorbacz, M.D.

  • Anatomic Pathology Physician
  • New York, NY
  • NPI 1801850631
  NPD
• Igor Grosman, D.O.

  • Gastroenterology Physician
  • Brooklyn, NY
  • NPI 1851506869
  NPD
• Tamikia Jenkins

  • Certified Registered Nurse Anesthetist
  • New York, NY
  • NPI 1346660164
  NPD
• Michael Khaham, D.O., RPH

  • Anesthesiology Physician
  • Brooklyn, NY
  • NPI 1790985596
  NPD
• Shahbaz Ali Khan, M.D

  • Anatomic Pathology & Clinical Pathology Physician
  • Staten Island, NY
  • NPI 1639554181
  NPD
• Dmitriy O. Khodorskiy, M.D.

  • Gastroenterology Physician
  • Mineola, NY
  • NPI 1689803736
  NPD

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

{
    "created_epoch": "1662422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667520000000",
    "number": "1932820339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1672 SHEEPSHEAD BAY RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353803",
            "telephone_number": "718-332-0600",
            "fax_number": "718-332-3262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1672 SHEEPSHEAD BAY RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353803",
            "telephone_number": "718-332-0600",
            "fax_number": "718-332-3262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIBOROUGH GI PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-06",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A",
        "authorized_official_last_name": "BRUN",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "718-450-4870"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Triboro Care PT PC
• Triboro Chiropractic, P.C.
• Triboro Med Supply, Inc
• Triborough Gastroenterology Health PLLC
• Triborough Gi PLLC
• Triborough Medical Urgent Care PC
• Triborough Physical Therapy and Chiropractic PLLC
• Justine Tribou
• Amanda Tribunati
• James Frank Tricarico, R-PAC

• Clinical Medical Laboratory in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Clinical Medical Laboratory in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.