BRADLEY SCOTT TRIVAX (NPI# 1558486050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558486050 |
| Entity Type | Individual |
| Full Name | BRADLEY SCOTT TRIVAX |
| Credential | MD |
| Practice Address |
200 Old Country Road Suite 350 Mineola NY 11501 |
| Practice Telephone | 5167392100 |
| Practice Fax Number | 5168738068 |
| Mailing Telephone | 5167392100 |
| Mailing Fax Number | 5168738068 |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2012-05-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 236257 | NY | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | A92047 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
200 OLD COUNTRY ROAD SUITE 350 |
| City | MINEOLA |
| State | NY |
| Zip Code | 11501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083612089 | Nyu Langone Hospitals | Clinic/Center | 200 Old Country Road, Mineola, NY 11501 | 2005-07-13 |
| 1730475278 | Kelly Ann Levine | Physician Assistant | 200 Old Country Road, Mineola, NY 11501 | 2011-06-23 |
| 1255449328 | Laurie J Levine Md PC | Dermatology | 200 Old Country Road, Ste 140, Mineola, NY 11501 | 2006-08-28 |
| 1124006507 | Purna Shah | Internal Medicine | 200 Old Country Road, #278 Long Island Heart Associates, Mineola, NY 11501 | 2006-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710500350 | Steve Abraham Simon | Student in an Organized Health Care Education/Training Program | 222 Station Plaza, Suite 509, Mineola, NY 11501 | 2020-05-18 |
| 1407478167 | Frederick Milton Bosoy | Student in an Organized Health Care Education/Training Program | 259 1st St, Mineola, Ny 11501, Mineola, NY 11501 | 2020-05-15 |
| 1982226130 | Katelyn Anne Fowler | Counselor | [email protected], 410 East Jericho Tpke, Mineola, NY 11501 | 2020-05-11 |
| 1225667819 | New York Dialysis Services, Inc | Clinic/Center | 1 East Jericho Turnpike, Mineola, NY 11501 | 2020-04-06 |
| 1518500032 | Irina Victoria Kushnareva | Social Worker | 126 Saville Rd, Mineola, NY 11501 | 2019-10-28 |
| 1861046336 | Milagros M Matias | Case Manager/Care Coordinator | 39 E. Jericho Turnpike, Mineola, NY 11501 | 2019-08-01 |
| 1154974244 | Bahram Dabiri | Student in an Organized Health Care Education/Training Program | 222 Station Plaza N., Suite 620 Mineola, Mineola, NY 11501 | 2019-07-18 |
| 1972168748 | Nabeel A. Arain | Physician Assistant | 251 1st St., Mineola, NY 11501 | 2019-05-07 |
| 1598328940 | Ramsha Jabbar | Student in an Organized Health Care Education/Training Program | 222 Station Plaza North, Suite 305, Mineola, NY 11501 | 2019-04-20 |
| 1235628850 | Valentyna Erstenyuk | Student in an Organized Health Care Education/Training Program | 222 Station Plaza N, Suite 611, Mineola, NY 11501 | 2018-05-09 |
| Find all providers in zip 11501 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164935276 | 300 Old Country Road Medical Pllc | Obstetrics & Gynecology | 300 Old Country Rd Ste 201, Mineola, NY 11501-4199 | 2017-11-10 |
| 1063760551 | Hye In Park | Obstetrics & Gynecology | 2 Birchwood Ct, Apt # 3b, Mineola, NY 11501-4525 | 2012-08-15 |
| 1053668962 | Veronica Rojas | Obstetrics & Gynecology | 259 1st St Dept Ob, Mineola, NY 11501-3957 | 2012-08-09 |
| 1619239001 | Cheryl Dinglas | Obstetrics & Gynecology | 259 1st St Lowr Level, Mineola, NY 11501-3957 | 2012-06-12 |
| 1255418786 | Lydia Valderrama-kunion | Obstetrics & Gynecology | 173 Mineola Blvd Ste 200, Mineola, NY 11501-2530 | 2006-11-01 |
| 1831273200 | Robert Ward Nadel | Obstetrics & Gynecology | 376 1st St, Mineola, NY 11501-3737 | 2006-10-24 |
| 1962465963 | Cara H Lieberman | Obstetrics & Gynecology | 135 Mineola Blvd, Mineola, NY 11501-3917 | 2006-04-10 |
| 1801885835 | Paul Byrne | Obstetrics & Gynecology | 300 Old Country Rd Ste 400, Mineola, NY 11501-4112 | 2005-10-21 |
| 1609869734 | Valerie Cucco | Obstetrics & Gynecology | 120 Mineola Blvd, Suite 100, Mineola, NY 11501-4073 | 2005-08-24 |
| 1558711135 | Roseanna Miller | Obstetrics & Gynecology | 300 Old Country Rd Ste 400, Mineola, NY 11501-4112 | 2016-06-15 |
| Find all providers in MINEOLA | ||||
Please comment or provide details below to improve the information on BRADLEY SCOTT TRIVAX.
| 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.