Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tri-Borough Ny Medical Practice PC

Organization Specialist · NPI 1720661044

Tri-Borough Ny Medical Practice PC is a Specialist in Jamaica, New York. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
8
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9016 Sutphin Blvd
Jamaica, NY 11435-3636
Phone: (719) 487-4016
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine (Anesthesiology) Physician (primary) Taxonomy 207LP2900X
Specialist Taxonomy 174400000X
Anesthesiology Physician Taxonomy 207L00000X
Internal Medicine Physician Taxonomy 207R00000X
Orthopaedic Surgery Physician Taxonomy 207X00000X
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X
Interventional Pain Medicine Physician Taxonomy 208VP0014X
Surgical Physician Assistant Taxonomy 363AS0400X

Record details

NPI number1720661044
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Neesha Mohammed — Practice Manager · (855) 699-7246
NPI enumeratedMay 4, 2021
Last updated in NPPESMay 4, 2021
Certification dateMay 4, 2021
Mailing address185 Kingsland St, Nutley, NJ 07110-1119

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