TRIUMPH TREATMENT LLC (NPI# 1235696337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235696337 |
| Entity Type | Organization |
| Organization Name | TRIUMPH TREATMENT LLC |
| Practice Address |
309 W Park Ave Long Beach NY 11561-3241 |
| Mailing Address |
2808 Avenue P Brooklyn NY 11229-1810 |
| Practice Telephone | 3475241832 |
| Mailing Telephone | 3475241832 |
| Enumeration Date | 2019-02-25 |
| Last Update Date | 2019-03-08 |
| Authorized Official Name | EDWARD REBENWURZEL (DIRECTOR) |
| Authorized Official Telephone | 3475241832 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities | ||
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | TRIUMPH TREATMENT LLC | 25 Robert Pitt Drive, Ste 204, Monsey, New York 10952 |
| Street Address |
309 W PARK AVE |
| City | LONG BEACH |
| State | NY |
| Zip Code | 11561-3241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568608362 | Global Wound Care Products Inc | Durable Medical Equipment & Medical Supplies | 309 W Park Ave, Long Beach, NY 11561-3241 | 2008-12-29 |
| 1740835412 | Ryka Kristel Rosal | Physical Medicine & Rehabilitation | 309 W Park Ave, Long Beach, NY 11561-3241 | 2019-08-08 |
| 1588007397 | Laura Prince | Dietitian, Registered | 309 W Park Ave, Second Floor, Long Beach, NY 11561-3241 | 2013-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083246961 | Romina Zitofsky | Community Health Worker | 65 Pacific Blvd, Long Beach, NY 11561 | 2020-02-07 |
| 1710519038 | Can Flei Corp. | Massage Therapist | 116 Taft Ave., Long Beach, NY 11561 | 2020-02-05 |
| 1073032199 | Sherrie Cooper | Behavior Technician | 554 East Pine Street, Long Beach, NY 11561 | 2017-09-11 |
| 1437679354 | Alana Doonachar | Physician Assistant | 100 Belmont Avenue, Long Beach, NY 11561 | 2017-06-21 |
| 1023547452 | Tina Bayer | Nurse Practitioner | 427 East Chester Street 2nd Floor, Long Beach, NY 11561 | 2017-06-08 |
| 1316483977 | Taylor Nicole Paganini | Massage Therapist | 252 Grand Blvd, Long Beach, NY 11561 | 2017-01-06 |
| 1265803688 | Stop and Shop Supermarket Co LLC | Durable Medical Equipment & Medical Supplies | 85 East Park Ave, Long Beach, NY 11561 | 2015-10-12 |
| 1588048797 | Carol Bell | Behavioral Analyst | 121 Harding Avenue, Long Beach, NY 11561 | 2015-07-17 |
| 1811378821 | Patricia Harris | Case Manager/Care Coordinator | 72 Illinios Avenue, Long Beach, NY 11561 | 2015-06-16 |
| 1164801916 | Antonia Dileo | Marriage & Family Therapist | 36 Prescott Street, Lido Beach, NY 11561 | 2015-05-27 |
| Find all providers in zip 11561 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700383270 | Los Angeles Center for Alcohol and Drug Abuse | Clinic/Center | 5861 Cherry Ave, Long Beach, CA 90805-4405 | 2018-04-10 |
| 1053784249 | Safe Refuge | Clinic/Center | 3111 E 7th St, Long Beach, CA 90804-4932 | 2015-11-10 |
| 1225411796 | Safe Refuge | Clinic/Center | 3139 E 7th St, Long Beach, CA 90804-4932 | 2015-07-02 |
| 1518340082 | Safe Refuge | Clinic/Center | 3137-39 E 7th St, Long Beach, CA 90804-4932 | 2015-07-02 |
| 1962828491 | Safe Refuge | Clinic/Center | 1046 Redondo Ave, Long Beach, CA 90804-3927 | 2014-03-07 |
| 1447494380 | Serene Center, Inc. | Clinic/Center | 1215 E 4th St, Ste 102, Long Beach, CA 90802-7518 | 2009-04-22 |
| 1881855435 | Choices of Long Beach, Inc. | Clinic/Center | 2139 E 7th St, Long Beach, CA 90804-4503 | 2008-06-17 |
| 1710188263 | Willapa Counseling Center | Clinic/Center | 1107 Pacific Avenue North, Long Beach, WA 98631 | 2007-05-31 |
| 1962621664 | Safe Refuge | Clinic/Center | 3125 East 7th Street, Long Beach, CA 90804-4932 | 2007-04-24 |
| 1265677975 | Circle of Help Foundation | Clinic/Center | 555 E Pacific Coast Hwy, Suite 105, Long Beach, CA 90806-5576 | 2008-12-09 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 11561 |
Please comment or provide details below to improve the information on TRIUMPH TREATMENT LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.