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TRIBOROUGH ASC LLC
NPI 1720638497
Surgery in Bronx, NY

Active since September 16, 2019CLIA 33D2184417 · Waiver
550 E 180TH ST, BRONX, NY 10457(718) 382-7900(718) 382-7901 Get Directions Write a Review

NPPES record last updated: September 16, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Triborough Asc Llc NPPES

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

TRIBOROUGH ASC LLC (NPI 1720638497) is a healthcare organization registered as a surgery in Bronx, New York and active in the NPI registry since September 2019. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Mark Gladstein, Owner, as its authorized official.

NPPES Registry Identity

NPI1720638497
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameTRIBOROUGH ASC LLC
Location Address550 E 180TH STBronx, NY 10457-3304
Mailing Address2076 E 13th StBrooklyn, NY 11229-3304 · (718) 382-7900
Phone(718) 382-7900
Fax(718) 382-7901
Organization SubpartNo
Authorized OfficialMark GladsteinOwner · (718) 382-7900
Enumeration DateSeptember 16, 2019
✔ NPI 1720638497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
550 E 180TH ST, Bronx, NY 10457
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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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2184417

Triborough ASC LLC · Bronx, NY
Active · expires Mar 26, 2027
CLIA Number33D2184417
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMay 20, 2020
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Mark Gladstein
Laboratory Phone(747) 239-4040
Laboratory LocationTriborough ASC LLC550 E 180th St, Bronx, NY 10457
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

THREE GRACES MEDICAL PRACTICE PLLC
Family Medicine
550 E 180TH ST
BRONX, NY 10457
Bronx County (718) 933-0333

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 Triborough ASC LLC's NPI number?

The NPI number for Triborough ASC LLC is 1720638497. It was assigned to this organization in the NPPES registry on September 16, 2019.

Where is Triborough ASC LLC located?

Triborough ASC LLC is located at 550 E 180th St, Bronx, NY 10457. The listed phone number is (718) 382-7900.

What is Triborough ASC LLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Does Triborough ASC LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2184417) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Triborough ASC LLC was last updated on September 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.