Tri State Health And Wellness Medical Care Center PC
General Practice in Fair Lawn, New Jersey
1154661593- Practice location
- 31-00 Broadway 1ST Floor, Fair Lawn, NJ 07410
- Phone
- 201-741-5891
- Fax
- 201-791-7337
- Last updated
- February 21, 2013
Tri State Health And Wellness Medical Care Center PC is a healthcare organization based in Fair Lawn, NJ. Tri State Health And Wellness Medical Care Center PC practices in Fair Lawn, NJ. The NPI Number for Tri State Health And Wellness Medical Care Center PC is 1154661593 and holds a License No. 25MB06860100 (NJ). The current practice location address for Tri State Health And Wellness Medical Care Center PC is 31-00 Broadway 1ST Floor, Fair Lawn, NJ 07410 and can be reached out via phone at 201-741-5891 and via fax at 201-791-7337.
Provider Profile Details
- NPI Number
- 1154661593
- Provider Name
- Tri State Health And Wellness Medical Care Center PC
- Provider Entity Type
- Organization
- Address
- 31-00 Broadway 1ST Floor, Fair Lawn, NJ 07410
- Phone Number
- 201-741-5891
- Fax Number
- 201-791-7337
- Primary Taxonomy
- General Practice · 208D00000X
- Organization Subpart
- No
- Authorized Official
- Dr. Aleksander Martirosov, DO · Medical Directro · 201-791-7771
- Provider Enumeration Date
- February 21, 2013
- Last Update Date
- February 21, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 31-00 Broadway 1ST Floor
Fair Lawn, NJ 07410 - City
- Fair Lawn
- State
- New Jersey
- Zip
- 07410
- Phone Number
- 201-741-5891
- Fax Number
- 201-791-7337
Provider Business Mailing Address Details
- Address
- 31-00 Broadway
Fair Lawn, NJ 07410-3963 - City
- Fair Lawn
- State
- NJ
- Zip
- 07410-3963
- Phone Number
- 201-741-5891
- Fax Number
- 201-791-7337
License Information
- License Number (1)
- 25MB06860100
- License State (1)
- NJ
- Taxonomy (1)
- Allergy & Immunology, Allergy · 207KA0200X
- License Number (2)
- 25MB06860100
- License State (2)
- NJ
- Taxonomy (2)
- Family Medicine, Addiction Medicine · 207QA0401X
- License Number (3)
- 25MB06860100
- License State (3)
- NJ
- Taxonomy (3)
- Family Medicine, Adult Medicine · 207QA0505X
- License Number (4)
- 25MB06860100
- License State (4)
- NJ
- Taxonomy (4)
- Internal Medicine, Adolescent Medicine · 207RA0000X
- License Number (5)
- 25MB06860100
- License State (5)
- NJ
- Taxonomy (5)
- Internal Medicine, Addiction Medicine · 207RA0401X
- License Number (6)
- 25MB06860100
- License State (6)
- NJ
- Taxonomy (6)
- Internal Medicine, Cardiovascular Disease · 207RC0000X
- License Number (7)
- 25MB06860100
- License State (7)
- NJ
- Taxonomy (7)
- Internal Medicine, Endocrinology, Diabetes & Metabolism · 207RE0101X
- License Number (8)
- 25MB06860100
- License State (8)
- NJ
- Taxonomy (8)
- Internal Medicine, Interventional Cardiology · 207RI0011X
- License Number (9)
- 25MB06860100
- License State (9)
- NJ
- Taxonomy (9)
- Internal Medicine, Sports Medicine · 207RS0010X
- License Number (10)
- 25MB06860100
- License State (10)
- NJ
- Taxonomy (10)
- General Practice · 208D00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other General Practice providers near Fair Lawn, NJ
View all General Practice providers in Fair Lawn →- Galope Medical Group INCGeneral Practice · NPI 1255083317
- Mark Reyn MD PCGeneral Practice · NPI 1366602278
- Salvatore J. Milazzo,d.o.,p.a.General Practice · NPI 1497874036
- Kourtney ScipioSpeech-Language Pathologist, · NPI 1609776632
- Chelsea SignoreOccupational Therapist, Physical Rehabilitation · NPI 1477453694
- Dr. Renee Nussbaum, PHD, PSYAPsychologist, Psychoanalysis · NPI 1750725438
Frequently Asked Questions
What is the NPI number of Tri State Health And Wellness Medical Care Center PC?
The NPI number of Tri State Health And Wellness Medical Care Center PC is 1154661593. It was assigned on February 21, 2013 and is currently active in the NPPES registry.
What is the specialty of Tri State Health And Wellness Medical Care Center PC?
Tri State Health And Wellness Medical Care Center PC is registered under the primary taxonomy General Practice (code 208D00000X), licensed in NJ under license number 25MB06860100.
Where does Tri State Health And Wellness Medical Care Center PC practice?
The practice location is 31-00 Broadway 1ST Floor, Fair Lawn, NJ 07410. The office can be reached at 201-741-5891 (phone) or 201-791-7337 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1154661593 directly on the NPPES registry website.