Tricounty Care Management Organization

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

TRICOUNTY CARE MANAGEMENT ORGANIZATION

Practice address

1250 State Route 28 Ste 101
Branchburg, NJ 08876-3389

Phone

(908) 526-3900

Fax

(908) 526-5278

NPI assigned

Mar 8, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Patrick C Vitale

Title

Chief Financial Officer

Phone

(908) 526-3900

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124159363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 STATE ROUTE 28 STE 101",
            "city": "BRANCHBURG",
            "state": "NJ",
            "postal_code": "088763389",
            "telephone_number": "908-526-3900",
            "fax_number": "908-526-5278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 STATE ROUTE 28 STE 101",
            "city": "BRANCHBURG",
            "state": "NJ",
            "postal_code": "088763389",
            "telephone_number": "908-526-3900",
            "fax_number": "908-526-5278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRICOUNTY CARE MANAGEMENT ORGANIZATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VITALE",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "908-526-3900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8458600",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• 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.