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TRI CITY MEDICAL PC
NPI 1639824816
Internal Medicine - Gastroenterology in Woodside, NY

Active since February 16, 2022
5812 QUEENS BLVD # 21281, WOODSIDE, NY 11377(929) 224-2588(917) 818-4288 Get Directions Write a Review

NPPES record last updated: May 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 19, 2025, Dec 6, 2022, Feb 16, 2022 (3 updates tracked since 2022).

About Tri City Medical Pc NPPES

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

TRI CITY MEDICAL PC (NPI 1639824816) is a healthcare organization registered as a gastroenterology in Woodside, New York and active in the NPI registry since February 2022. The organization lists Jin Lee, Administrator, as its authorized official.

NPPES Registry Identity

NPI1639824816
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameTRI CITY MEDICAL PC
Location Address5812 QUEENS BLVD # 21281Woodside, NY 11377-7765
Mailing Address5812 Queens Blvd # 21281Woodside, NY 11377-7765 · (929) 224-2588 · Fax (917) 818-4288
Phone(929) 224-2588
Fax(917) 818-4288
Organization SubpartNo
Authorized OfficialJin LeeAdministrator · (929) 224-2588
Enumeration DateFebruary 16, 2022
Last NPPES UpdateMay 19, 20253 updates tracked since enumeration
NPPES CertifiedMay 19, 2025
✔ NPI 1639824816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
5812 QUEENS BLVD # 21281, Woodside, NY 11377
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Tri City Medical PC's NPI number?

The NPI number for Tri City Medical PC is 1639824816. It was assigned to this organization in the NPPES registry on February 16, 2022.

Where is Tri City Medical PC located?

Tri City Medical PC is located at 5812 Queens Blvd # 21281, Woodside, NY 11377. The listed phone number is (929) 224-2588.

What is Tri City Medical PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

When was this NPI record last updated?

The NPPES record for Tri City Medical PC was last updated on May 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.