Look up the most recent NPI and PECOS records

Triage Care Llc

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

(917) 682-1932

PECOS Enrollment

Based on the most recent information from CMS, provider Triage Care Llc does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records today at 9:43 AM.

Profile Details

Provider ID
1023784618
Provider Type
Organization
Full Name
Triage Care Llc

Subpart
No
Enumeration Date
8/23/2021
Last Updated
11/24/2021

Contact Information

Practice Location

679 62nd St, Brooklyn, NY 11220-4112

(917) 682-1932

Unlisted Fax

Mailing Location

679 62nd St, Brooklyn, NY 11220-4112

(917) 682-1932

Unlisted Fax

Authorized Official

Duong, Simon (Physician Assistant)

(917) 682-1932

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License Unlisted Issuer
Code 363AM0700X	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License Unlisted Issuer

Triage Care Llc

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Goldberg, Shlomie

Fazzolari, Theresa Lynne

Persaud, Nadia P

Jones-Cruz, Debra Cynthia

Nelson, Kaitlyn

Awai, Nigel

Rana, Amrinder S

Perez Espinal, Karina Maria

Hong, Ruby

Krepshaw, Nicholas Brady