Tristate Medical Care PC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

128754 Issued in NY

Legal business name

TRISTATE MEDICAL CARE PC

Practice address

3615 Ave S
Brooklyn, NY 11234

Phone

(718) 336-2110

NPI assigned

Oct 14, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Shashibala SoniNPI 1477648434

Title

MD Facp Facc

Phone

(718) 236-4444

Specialties & licenses 4

Addresses

Locations

Practitioners 2

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

• Shashibala Soni, MD .FA.C.C. FACP

  • Cardiovascular Disease Physician
  • Yonkers, NY
  • NPI 1477648434
  NPD (past) Authorized official
• Rosalba Fasano, D.C.

  • Chiropractor
  • Brooklyn, NY
  • NPI 1437177383
  NPD (past)

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

{
    "created_epoch": "1160784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200441600000",
    "number": "1972693315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 21ST AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11214",
            "telephone_number": "718-236-6644",
            "fax_number": "718-236-9080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3615 AVE S",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11234",
            "telephone_number": "718-336-2110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRISTATE MEDICAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-14",
        "last_updated": "2008-01-16",
        "status": "A",
        "authorized_official_last_name": "SONI",
        "authorized_official_first_name": "SHASHIBALA",
        "authorized_official_title_or_position": "MD FACP FACC",
        "authorized_official_telephone_number": "718-236-4444",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "128754",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "128754",
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "128754",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NJ",
            "license": "25MA06036700",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carla R. Triplett, PSY.D.
• Crystal Triplett
• Dawn Triplett
• Bettina Triscari, MA, CCC-SLP
• Farzana Afrose Trisha
• Tristate Medical Supplies Equipment
• Tristate Ny Diagnostics Inc
• Tristate Psychological Injury Services PC
• Nicole Trister
• Juwana Trisvan

• Cardiovascular Disease Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Cardiovascular Disease Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2008; 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.