Tri State Health And Wellness Medical Care Center Pc

LBN: Tri State Health And Wellness Medical Care Center Pc
Tri State Health And Wellness Medical Care Center Pc is an health care organization with primary practice located at 31-00 Broadway 1St Floor , Fair Lawn NJ 07410. The organization recently has 9 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy, Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Adult Medicine, Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is the primary health care specialty. Tri State Health And Wellness Medical Care Center Pc can be contacted via phone (201) 741-5891, or through Martirosov, Aleksander via phone (201) 791-7771.

Contact Information

Primary practice address
31-00 Broadway 1St Floor Fair Lawn NJ 07410
Phone: (201) 741-5891
Fax: (201) 791-7337
Website:
Map and Directions
Authorized official contact:
Name: Martirosov, Aleksander Doctor of Osteopathy (DO)
Phone: (201) 791-7771

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy 207KA0200X 25MB06860100 New Jersey
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X 25MB06860100 New Jersey
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 25MB06860100 New Jersey
Allopathic & Osteopathic Physicians / Adolescent Medicine 207RA0000X 25MB06860100 New Jersey
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X 25MB06860100 New Jersey
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 25MB06860100 New Jersey
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 25MB06860100 New Jersey
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 25MB06860100 New Jersey
Allopathic & Osteopathic Physicians / Sports Medicine 207RS0010X 25MB06860100 New Jersey
Allopathic & Osteopathic Physicians / General Practice 208D00000X 25MB06860100 New Jersey

Profile Details

NPI number 1154661593
LBN Legal business name Tri State Health And Wellness Medical Care Center Pc
DBA Doing business as
Authorized official Martirosov, Aleksander Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 21st, 2013
Last updated Feb 21st, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154661593 NPPES
New Jersey MEDICAID 7912404

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