Tristate Medical Care PC

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

MA071859 Issued in NJ

Legal business name

TRISTATE MEDICAL CARE PC

Practice address

21 Grand Ave
Suite 505
Palisades Park, NJ 07650-1076

Phone

(201) 313-4840

Fax

(201) 313-9353

NPI assigned

Jun 9, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Hong Sik Pak, M.D.NPI 1427077056

Title

President

Phone

(201) 313-4840

Specialties & licenses 1

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Hong Sik Pak, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Fort Lee, NJ
  • NPI 1427077056
  NPD (past) Authorized official
• Sieun Lee, MPT

  • Physical Therapist
  • Palisades Park, NJ
  • NPI 1700075017
  NPD (past)
• Cecille McLarnon, P.T.

  • Physical Therapist
  • Little Ferry, NJ
  • NPI 1184653446
  NPD (past)
• Sang Ho Park, D.C.

  • Independent Medical Examiner Chiropractor
  • Flushing, NY
  • NPI 1235164989
  NPD (past)

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053352468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 GRAND AVE",
            "address_2": "SUITE 505",
            "city": "PALISADES PARK",
            "state": "NJ",
            "postal_code": "076501076",
            "telephone_number": "201-313-4840",
            "fax_number": "201-313-9353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 GRAND AVE",
            "address_2": "SUITE 505",
            "city": "PALISADES PARK",
            "state": "NJ",
            "postal_code": "076501076",
            "telephone_number": "201-313-4840",
            "fax_number": "201-313-9353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRISTATE MEDICAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PAK",
        "authorized_official_first_name": "HONG",
        "authorized_official_middle_name": "SIK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-313-4840",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NJ",
            "license": "MA071859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sung Won Lee MD PC
• Grace Carolina Sung, COTA/L
• Robert A Susinno
• Hend Taha, RDN
• TMS Health Center Inc
• Umdnj
• Juliana A Vasquez, MS.ED
• Visiting Vision Services
• Caroline Walz, MS, LAT, ATC
• Boghos Yedikian, PHARMD

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Palisades Park, NJ
• Providers in Palisades Park, NJ by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.