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MRS. TRIE ARNI DJUNADI MD
NPI 1669253340
Student in an Organized Health Care Education/Training Program in Staten Island, NY

Active since October 10, 2023
355 BARD AVENUE, DEPARTMENT OF MEDICINE, VILLA BLDG 1ST FLOOR, STATEN ISLAND, NY 10310(718) 818-2419 Get Directions Write a Review

NPPES record last updated: April 9, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Apr 9, 2024, Oct 10, 2023 (2 updates tracked since 2023).

About Mrs. Trie Arni Djunadi Md NPPES

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

MRS. TRIE ARNI DJUNADI MD (NPI 1669253340) is an individual student in an organized health care education/training program in Staten Island, New York and active in the NPI registry since October 2023.

NPPES Registry Identity

NPI1669253340
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMRS. TRIE ARNI DJUNADICredential: MD
Location Address355 BARD AVENUE, DEPARTMENT OF MEDICINE, VILLA BLDG 1ST FLOORStaten Island, NY 10310
Mailing Address355 Bard Avenue, Department Of Medicine, Villa Bldg 1st FloorStaten Island, NY 10310 · (718) 818-2419
Phone(718) 818-2419
Sole ProprietorNo
Enumeration DateOctober 10, 2023
Last NPPES UpdateApril 9, 20242 updates tracked since enumeration
✔ NPI 1669253340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
355 BARD AVENUE, DEPARTMENT OF MEDICINE, Staten Island, NY 10310
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Other Providers at the Same Location NPPES

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

DR. ANNMARIE D FERNANDO MD
Student in an Organized Health Care Education/Training Program
355 BARD AVENUE, DEPARTMENT OF MEDICINE, VILLA BUILDING, 1ST FLOOR
STATEN ISLAND, NY 10310
Richmond County (718) 818-2419

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 Trie Arni Djunadi's NPI number?

The NPI number for Trie Arni Djunadi is 1669253340. It was assigned to this individual provider in the NPPES registry on October 10, 2023.

Where is Trie Arni Djunadi located?

Trie Arni Djunadi practices at 355 Bard Avenue, Department Of Medicine Villa Bldg 1st Floor, Staten Island, NY 10310. The listed phone number is (718) 818-2419.

What is Trie Arni Djunadi's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Trie Arni Djunadi was last updated on April 9, 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.