Active NPI
Tina M. Triburgo, LCSW
- Social Worker
- New York, NY
National Provider Identifier
1962561019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 070470
- Practice address
- 21 W 86TH St
Suite 301
New York, NY 10024-3616 - Phone
- (718) 207-4200
- NPI assigned
- Dec 6, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 070470 | NY | Primary |
Addresses
Primary practice location
21 W 86TH St
Suite 301
New York, NY 10024-3616
Mailing address
21 W 86TH St
Suite 301
New York, NY 10024-3616
Phone (718) 207-4200
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1962561019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 W 86TH ST",
"address_2": "SUITE 301",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100243616",
"telephone_number": "718-207-4200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 W 86TH ST",
"address_2": "SUITE 301",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100243616",
"telephone_number": "718-207-4200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRIBURGO",
"first_name": "TINA",
"middle_name": "M.",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-06",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "070470",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.