Organization Active NPI

Triboro Anesthesia PLLC

  • Anesthesiology Physician
  • Valley Stream, NY
National Provider Identifier
1962826412
Registry record updated Feb 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
TRIBORO ANESTHESIA PLLC
Practice address
50 Valley LN W
Valley Stream, NY 11581-3633
Phone
(718) 687-2010
NPI assigned
Feb 4, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2014

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

Authorized official

Name
Dr. Pavel Alexandrov, M.D.
Title
M.D.
Phone
(718) 687-2010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

50 Valley LN W
Valley Stream, NY 11581-3633

Mailing address

50 Valley LN W
Valley Stream, NY 11581-3633
Phone (718) 687-2010

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1391472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391472000000",
    "number": "1962826412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 VALLEY LN W",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115813633",
            "telephone_number": "718-687-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 VALLEY LN W",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115813633",
            "telephone_number": "718-687-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIBORO ANESTHESIA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-04",
        "last_updated": "2014-02-04",
        "status": "A",
        "authorized_official_last_name": "ALEXANDROV",
        "authorized_official_first_name": "PAVEL",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "718-687-2010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Stream, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2014; 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.