TRIFECTA HEALTH MEDICAL PC (NPI# 1740559012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740559012 |
| Entity Type | Organization |
| Organization Name | TRIFECTA HEALTH MEDICAL PC |
| Practice Address |
115 Broadway Ste. 1300 New York NY 10006-1604 |
| Practice Telephone | 2122332830 |
| Practice Fax Number | 8883485193 |
| Mailing Telephone | 2122332830 |
| Mailing Fax Number | 8883485193 |
| Enumeration Date | 2011-12-15 |
| Last Update Date | 2011-12-15 |
| Authorized Official Name | DR. EDWARD FRUITMAN (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 2122332830 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
747423UPD | NY | Ambulatory Health Care Facilities |
| Street Address |
115 BROADWAY STE. 1300 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10006-1604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467003731 | Princess Diane E Manuel | Social Worker | 115 Broadway, New York, NY 10006-1604 | 2019-09-26 |
| 1669953550 | New York Specialty Care LLC | Anesthesiology | 115 Broadway, Ste 1800 Ofc 40, New York, NY 10006-1652 | 2018-08-28 |
| 1699275297 | Connect Health Chiropractic PC | Chiropractor | 115 Broadway, Suite 1800, New York, NY 10006 | 2018-02-20 |
| 1114283207 | Anne Roderick | Nurse Practitioner | 115 Broadway, Suite 1300, New York, NY 10006 | 2012-04-03 |
| 1336107325 | Lisa Kim Ellman-grunther | Allergy & Immunology | 115 Broadway, Ste 1800, New York, NY 10006-1652 | 2006-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720620313 | Retina Labs (usa), Inc. | Technician/Technologist | 165 Broadway - One Liberty Plaza, Suite 2301, New York City, NY 10006 | 2019-10-15 |
| 1437626140 | Conscientiamd PC | Psychiatry & Neurology | 115 Broadway Suite 1800 (room 25), New York, NY 10006 | 2018-10-31 |
| 1720563232 | Harveen Kaur | Physical Therapist | 65 Broadway, Ste. 603, New York, NY 10006 | 2018-10-01 |
| 1871032367 | Joanne Herskovits | Speech-Language Pathologist | 90 Trinity Place, Leadership and Public Service High School, New York, NY 10006 | 2017-02-16 |
| 1457801318 | Lifetime Physical Therapy | Clinic/Center | 2 Rector St # 1301, Lifetime Physical Therapy, New York, NY 10006 | 2016-10-04 |
| 1649647959 | Progyny, Inc. | Exclusive Provider Organization | 1 Liberty Plaza, 47th Floor, New York, NY 10006 | 2015-08-24 |
| 1801207022 | Jane Arkinstall | Social Worker | 39 Broadway Suite 200, Mjhs, New York, NY 10006 | 2014-05-09 |
| 1487077665 | Jacob Perlow Hospice | Medicare Defined Swing Bed Unit | 39 Broadway, Suite 200, Ny, NY 10006 | 2014-01-24 |
| 1003249301 | Calvin C. Krom IIi | Emergency Medicine | 39 Broadway Fl 3, New York, NY 10006 | 2013-08-10 |
| 1740535103 | Carol Lynn Say Tan | Physical Therapist | 61 Broadway Suite 2824, New York, NY 10006 | 2012-07-20 |
| Find all providers in zip 10006 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
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| 1639791924 | Sanctuary Aso LLC | Clinic/Center | 57 W 57th St Ste 1101, New York, NY 10019-2814 | 2020-05-11 |
| 1548802770 | Christopher Bandini, Inc | Clinic/Center | 303 5th Ave Rm 1703, New York, NY 10016-6641 | 2019-10-09 |
| 1407418379 | Housing Works Services, Inc. | Clinic/Center | 743- East 9th Street, Omh Department, New York, NY 10009 | 2019-07-01 |
| 1184196644 | Gab Brands, LLC | Clinic/Center | 505 W 54th St Apt 713, New York, NY 10019-5059 | 2018-12-21 |
| 1164994786 | Frameworks Counseling Lcsw P.C. | Clinic/Center | 125 E 23rd St Fl 5, New York, NY 10010-4581 | 2018-12-20 |
| 1265931984 | Nyc Therapeutic Wellness | Clinic/Center | 303 5th Ave Rm 606, New York, NY 10016-6685 | 2018-02-08 |
| 1447707146 | Gary M Prottas, Lcsw Psychotherapist Pllc | Clinic/Center | 20 West 20th Street, Room 239, New York, NY 10011-4313 | 2016-09-09 |
| 1881043370 | Margaret M. Rombone, Ph.d. | Clinic/Center | 51 E 25th St Ste 7h, New York, NY 10010-8209 | 2016-06-06 |
| 1003270224 | Peter Reznik | Clinic/Center | 1641 3rd Ave Ste 201, New York, NY 10128-3623 | 2016-04-13 |
| 1417313024 | Jerome Boling | Clinic/Center | 2090 7th Ave Fl 4, New York, NY 10027-4941 | 2016-01-12 |
| Find all providers in NEW YORK | ||||
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| 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.