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MS. TRINA BINTA BASCOM
NPI 1659842078
Nurse Practitioner - Psychiatric/Mental Health in South Ozone Park, NY

Active since December 11, 2018
11207 ROCKAWAY BLVD, SOUTH OZONE PARK, NY 11420(917) 361-4502 Get Directions Write a Review

NPPES record last updated: June 27, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Trina Binta Bascom NPPES

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

MS. TRINA BINTA BASCOM (NPI 1659842078) is an individual psychiatric/mental health provider in South Ozone Park, New York, licensed in New York (402773) and active in the NPI registry since December 2018.

NPPES Registry Identity

NPI1659842078
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMS. TRINA BINTA BASCOM
Location Address11207 ROCKAWAY BLVDSouth Ozone Park, NY 11420-1031
Mailing Address11207 Rockaway BlvdSouth Ozone Park, NY 11420-1031
Phone(917) 361-4502
Sole ProprietorYes
Enumeration DateDecember 11, 2018
Last NPPES UpdateJune 27, 2022
NPPES CertifiedJune 27, 2022
✔ NPI 1659842078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NY · 402773
11207 ROCKAWAY BLVD, South Ozone Park, NY 11420
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Other Identifiers 1

Medicaid610850NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 Trina Bascom's NPI number?

The NPI number for Trina Bascom is 1659842078. It was assigned to this individual provider in the NPPES registry on December 11, 2018.

Where is Trina Bascom located?

Trina Bascom practices at 11207 Rockaway Blvd, South Ozone Park, NY 11420. The listed phone number is (917) 361-4502.

What is Trina Bascom's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Trina Bascom was last updated on June 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.