Tri-State Medical Group LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

TRI-STATE MEDICAL GROUP LLC

Practice address

2621 N Federal Hwy Ste S
Boca Raton, FL 33431-7785

Phone

(800) 607-4491

Fax

(561) 757-5850

NPI assigned

Oct 26, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Peter Mordukhayev

Title

Authorized Offical

Phone

(800) 607-4491

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1603670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603670400000",
    "number": "1023618592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2621 N FEDERAL HWY STE S",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334317785",
            "telephone_number": "800-607-4491",
            "fax_number": "561-757-5850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2621 N FEDERAL HWY STE S",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334317785",
            "telephone_number": "800-607-4491",
            "fax_number": "561-757-5850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-STATE MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-26",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A",
        "authorized_official_last_name": "MORDUKHAYEV",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "AUTHORIZED OFFICAL",
        "authorized_official_telephone_number": "800-607-4491"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trevor Meyerowtiz PT Inc
• Carl Treyz
• Tri-County Homecare of Florida, Inc.
• Tri-County Life Care, Inc
• Tri-County Neurology PA
• Triglav Life Coaching, Inc
• Chelsea Marie Trimble
• Trimed Spine & Joint LLC
• Elizabeth Tringali, PA-C
• Kimberly Trinh

• Durable Medical Equipment & Medical Supplies in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.