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TRIUMPH TREATMENT LLC
NPI 1235696337
Clinic/Center - Rehabilitation, Substance Use Disorder in Long Beach, NY

Active since February 25, 2019CLIA 33D2219241 · Waiver
309 W PARK AVE, LONG BEACH, NY 11561(516) 854-5400 Get Directions Write a Review

NPPES record last updated: February 29, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 8, 2019, Feb 25, 2019 (2 updates tracked since 2019).

About Triumph Treatment Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRIUMPH TREATMENT LLC (NPI 1235696337) is a healthcare organization registered as a rehabilitation, substance use disorder in Long Beach, New York and active in the NPI registry since February 2019. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Edward Rebenwurzel, Director, as its authorized official.

NPPES Registry Identity

NPI1235696337
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameTRIUMPH TREATMENT LLC
Location Address309 W PARK AVELong Beach, NY 11561-3241
Mailing Address309 W Park AveLong Beach, NY 11561-3241 · (516) 854-5400
Phone(516) 854-5400
Organization SubpartNo
Authorized OfficialEdward RebenwurzelDirector · (516) 854-5400
Enumeration DateFebruary 25, 2019
Last NPPES UpdateFebruary 29, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 29, 2024
✔ NPI 1235696337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
309 W PARK AVE, Long Beach, NY 11561
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2219241

Triumph Treatment LLC · Long Beach, NY
Active · expires Mar 26, 2027
CLIA Number33D2219241
Laboratory TypeOpiod Treatment Prgm
Certificate Effective DateApril 2, 2021
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Marjorie R. Dugue
Laboratory Phone(516) 854-5400
Laboratory LocationTriumph Treatment LLC309 W Park Ave, Long Beach, NY 11561
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTOPHER C DEGUILLA DPT
Physical Therapist
309 W PARK AVE
LONG BEACH, NY 11561
Nassau County (516) 568-7858
MIRASOL SUKHU
Registered Nurse
309 W PARK AVE
LONG BEACH, NY 11561
Nassau County (516) 854-5400
MS. LAURA PRINCE RD, CDN
Dietitian, Registered
309 W PARK AVE, SECOND FLOOR
LONG BEACH, NY 11561
Nassau County (516) 568-7858
RYKA KRISTEL ROSAL PT
Physical Medicine & Rehabilitation
309 W PARK AVE
LONG BEACH, NY 11561
Nassau County (516) 568-7858

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Triumph Treatment LLC's NPI number?

The NPI number for Triumph Treatment LLC is 1235696337. It was assigned to this organization in the NPPES registry on February 25, 2019.

Where is Triumph Treatment LLC located?

Triumph Treatment LLC is located at 309 W Park Ave, Long Beach, NY 11561. The listed phone number is (516) 854-5400.

What is Triumph Treatment LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Does Triumph Treatment LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2219241) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Triumph Treatment LLC was last updated on February 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.