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: July 19, 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.Information from the official NPPES registry record, last updated May 19, 2025.

NPPES Registry Identity

NPI1639824816
Entity TypeOrganization
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
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. How NPI validation works

Primary Specialty

Internal Medicine · Gastroenterology

Taxonomy 207RG0100X · Allopathic & Osteopathic Physicians

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats… Show more

5812 QUEENS BLVD # 21281, Woodside, NY 11377

Also on File with NPPES

Group Practice1
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization. (193200000X MULTI-SPECIALTY GROUP)

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639824816, enumerated as an "organization" on February 16, 2022.

The provider is located at 5812 QUEENS BLVD # 21281 WOODSIDE, NY 11377 and the phone number is (929) 224-2588.

Internal Medicine with taxonomy code 207RG0100X and a focus in Gastroenterology.