1447053137 NPI number — TRISHA MAE BOLOTAOLO RIPARIP MD

Table of content: TRISHA MAE BOLOTAOLO RIPARIP MD (NPI 1447053137)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1447053137 NPI number — TRISHA MAE BOLOTAOLO RIPARIP MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RIPARIP
Provider First Name:
TRISHA MAE
Provider Middle Name:
BOLOTAOLO
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
BOLOTAOLO
Provider Other First Name:
TRISHA MAE
Provider Other Middle Name:
VALES
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
MD
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1447053137
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/29/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
43 NEW SCOTLAND AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ALBANY
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
12208-3412
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
518-262-5377
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
43 NEW SCOTLAND AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ALBANY
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12208-3412
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
518-262-5377
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/29/2025

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 390200000X , with the licence number:  65055 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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