Active NPIOrganization

Tri-State Healthy

Family Medicine in Bloomfield, New Jersey

NPI Number1215363254
Practice location
554 Bloomfield Ave, Suite 301, Bloomfield, NJ 07003-3307
Fax
201-791-7337
Last updated
September 23, 2013

Tri-State Healthy is a healthcare organization based in Bloomfield, NJ. Tri-State Healthy practices in Bloomfield, NJ. The NPI Number for Tri-State Healthy is 1215363254. The current practice location address for Tri-State Healthy is 554 Bloomfield Ave, Suite 301, Bloomfield, NJ 07003-3307 and can be reached out via phone at 201-791-7771 and via fax at 201-791-7337.

Provider Profile Details

NPI Number
1215363254
Provider Name
Tri-State Healthy
Provider Entity Type
Organization
Address
554 Bloomfield Ave, Suite 301, Bloomfield, NJ 07003-3307
Phone Number
201-791-7771
Fax Number
201-791-7337
Primary Taxonomy
Family Medicine · 207Q00000X
Organization Subpart
No
Authorized Official
Aleksandr Martirosov, DO · Owner · 201-791-7771
Provider Enumeration Date
September 23, 2013
Last Update Date
September 23, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
554 Bloomfield Ave
Suite 301
Bloomfield, NJ 07003-3307
Zip
07003-3307
Phone Number
201-791-7771
Fax Number
201-791-7337
Bloomfield, NJ 07003Get directions →

Provider Business Mailing Address Details

Address
554 Bloomfield Ave
Suite 301
Bloomfield, NJ 07003-3307
City
Bloomfield
State
NJ
Zip
07003-3307
Phone Number
201-791-7771
Fax Number
201-791-7337

License Information

Taxonomy (1)
Family Medicine, Addiction Medicine · 207QA0401X
Taxonomy (2)
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Tri-State Healthy?

The NPI number of Tri-State Healthy is 1215363254. It was assigned on September 23, 2013 and is currently active in the NPPES registry.

What is the specialty of Tri-State Healthy?

Tri-State Healthy is registered under the primary taxonomy Family Medicine (code 207Q00000X).

Where does Tri-State Healthy practice?

The practice location is 554 Bloomfield Ave, Suite 301, Bloomfield, NJ 07003-3307. The office can be reached at 201-791-7771 (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 1215363254 directly on the NPPES registry website.

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