Tristate Domestic,llc
Private Vehicle in East Orange, New Jersey
1164620803- Practice location
- 12 Everett St, East Orange, NJ 07017-1740
- Phone
- 973-678-3030
- Fax
- —
- Last updated
- September 11, 2025
Tristate Domestic,llc is a healthcare organization based in East Orange, NJ. Tristate Domestic,llc practices in East Orange, NJ. The NPI Number for Tristate Domestic,llc is 1164620803. The current practice location address for Tristate Domestic,llc is 12 Everett St, East Orange, NJ 07017-1740 and can be reached out via phone at 973-678-3030.
Provider Profile Details
- NPI Number
- 1164620803
- Provider Name
- Tristate Domestic,llc
- Provider Entity Type
- Organization
- Address
- 12 Everett St, East Orange, NJ 07017-1740
- Phone Number
- 973-678-3030
- Primary Taxonomy
- Private Vehicle · 347C00000X
- Organization Subpart
- No
- Authorized Official
- Mr. Dominick Iacoviello · President · 973-678-3030
- Provider Enumeration Date
- July 4, 2007
- Last Update Date
- September 11, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 12 Everett St
East Orange, NJ 07017-1740 - City
- East Orange
- State
- New Jersey
- Zip
- 07017-1740
- Phone Number
- 973-678-3030
Provider Business Mailing Address Details
- Address
- 12 Everett St
East Orange, NJ 07017-1740 - City
- East Orange
- State
- NJ
- Zip
- 07017-1740
License Information
- Taxonomy (1)
- Home Health · 251E00000X
- Taxonomy (2)
- Non-emergency Medical Transport (VAN) · 343900000X
- Taxonomy (3)
- Private Vehicle · 347C00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Private Vehicle providers near East Orange, NJ
View all Private Vehicle providers in East Orange →- Mr. Michael ManningPrivate Vehicle · NPI 1700621653
- Mr. Wilson S Genao-EstevezPrivate Vehicle · NPI 1538931134
- On Schedule TransportationPrivate Vehicle · NPI 1568198752
- Park Grove Healthcare & Rehabilitation Center LLCSkilled Nursing Facility · NPI 1982263000
- Heart To Heart Health Care Services LLCCommunity/Behavioral Health · NPI 1821998279
- Esj Premier Healthcare Group LLCRegistered Nurse, Home Health · NPI 1205736865
Frequently Asked Questions
What is the NPI number of Tristate Domestic,llc?
The NPI number of Tristate Domestic,llc is 1164620803. It was assigned on July 4, 2007 and is currently active in the NPPES registry.
What is the specialty of Tristate Domestic,llc?
Tristate Domestic,llc is registered under the primary taxonomy Private Vehicle (code 347C00000X).
Where does Tristate Domestic,llc practice?
The practice location is 12 Everett St, East Orange, NJ 07017-1740. The office can be reached at 973-678-3030 (phone).
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 1164620803 directly on the NPPES registry website.