Active NPIOrganization

Tristate Medical Associates, PC

Family Medicine in Clifton, New Jersey

NPI Number1891880019
Practice location
642 Broad St, 2ND Floor, Suite 9, Clifton, NJ 07013-1615
Fax
973-614-8200
Last updated
September 18, 2007

Tristate Medical Associates, PC is a healthcare organization based in Clifton, NJ. Tristate Medical Associates, PC practices in Clifton, NJ. The NPI Number for Tristate Medical Associates, PC is 1891880019 and holds a License No. MA072674 (NJ). The current practice location address for Tristate Medical Associates, PC is 642 Broad St, 2ND Floor, Suite 9, Clifton, NJ 07013-1615 and can be reached out via phone at 973-614-9500 and via fax at 973-614-8200.

Provider Profile Details

NPI Number
1891880019
Provider Name
Tristate Medical Associates, PC
Provider Entity Type
Organization
Address
642 Broad St, 2ND Floor, Suite 9, Clifton, NJ 07013-1615
Phone Number
973-614-9500
Fax Number
973-614-8200
Primary Taxonomy
Family Medicine · 207Q00000X
Organization Subpart
No
Authorized Official
Mrs. Marina Belozersky, CPA · Office Manager · 973-614-9500
Provider Enumeration Date
October 4, 2006
Last Update Date
September 18, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
642 Broad St
2ND Floor, Suite 9
Clifton, NJ 07013-1615
Zip
07013-1615
Phone Number
973-614-9500
Fax Number
973-614-8200
Clifton, NJ 07013Get directions →

Provider Business Mailing Address Details

Address
Po Box 163
Roseland, NJ 07068-0163
City
Roseland
State
NJ
Zip
07068-0163
Phone Number
973-614-9500
Fax Number
973-614-8200

License Information

License Number
MA072674
License State
NJ
Taxonomy
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 Tristate Medical Associates, PC?

The NPI number of Tristate Medical Associates, PC is 1891880019. It was assigned on October 4, 2006 and is currently active in the NPPES registry.

What is the specialty of Tristate Medical Associates, PC?

Tristate Medical Associates, PC is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NJ under license number MA072674.

Where does Tristate Medical Associates, PC practice?

The practice location is 642 Broad St, 2ND Floor, Suite 9, Clifton, NJ 07013-1615. The office can be reached at 973-614-9500 (phone) or 973-614-8200 (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 1891880019 directly on the NPPES registry website.

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