TRESTLE CARE MEDICAL PLLC
NPI 1669306551
Family Medicine in Jackson Heights, NY

Active since June 09, 2026
9106 37TH AVE, JACKSON HEIGHTS, NY 11372(212) 748-9208(800) 497-7434 Get Directions Write a Review

NPPES record last updated: June 29, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Trestle Care Medical Pllc NPPES

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

TRESTLE CARE MEDICAL PLLC (NPI 1669306551) is a healthcare organization registered as a family medicine in Jackson Heights, New York and active in the NPI registry since June 2026. The organization lists Waseem Ghannam, Member, as its authorized official.

NPPES Registry Identity

NPI1669306551
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameTRESTLE CARE MEDICAL PLLC
Location Address9106 37TH AVEJackson Heights, NY 11372-7920
Mailing Address1401 Pennsylvania Ave Ste 105aWilmington, DE 19806-4125 · (212) 748-9208 · Fax (800) 497-7434
Fax(800) 497-7434
Organization SubpartNo
Authorized OfficialWaseem GhannamMember · (212) 748-9208
Enumeration DateJune 9, 2026
Last NPPES UpdateJune 29, 2026
NPPES CertifiedJune 29, 2026
✔ NPI 1669306551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
9106 37TH AVE, Jackson Heights, NY 11372

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Trestle Care Medical Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Trestle Care Medical PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Hospitalist
NPI 1306080510
9101 PINEVILLE MATTHEWS RD STE R
Pineville, NC 28134
(910) 642-1776
✔ PECOS546 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Trestle Care Medical PLLC's NPI number?

The NPI number for Trestle Care Medical PLLC is 1669306551. It was assigned to this organization in the NPPES registry on June 9, 2026.

Where is Trestle Care Medical PLLC located?

Trestle Care Medical PLLC is located at 9106 37th Ave, Jackson Heights, NY 11372. The listed phone number is (212) 748-9208.

What is Trestle Care Medical PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Trestle Care Medical PLLC enrolled in Medicare?

Yes. Trestle Care Medical PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Trestle Care Medical PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Hospitalist) reassigns their Medicare billing to Trestle Care Medical PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Trestle Care Medical PLLC was last updated on June 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.