Tri State Medical Supply Co LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

TRI STATE MEDICAL SUPPLY CO LLC

Doing business as

Tri State Medical Supply

Practice address

2035 Lemoine Ave Ste 203
Fort Lee, NJ 07024-5704

Phone

(718) 614-0700

NPI assigned

Jan 14, 2020

Organization subpart

No

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

Authorized official

Name

Pyong Yun

Title

Coo

Phone

(718) 614-0700

Specialties & licenses 1

Addresses

Other names 1

• Tri State Medical Supply Doing business as

Locations

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

{
    "created_epoch": "1578960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578960000000",
    "number": "1194365486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2035 LEMOINE AVE STE 203",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070245704",
            "telephone_number": "718-614-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2035 LEMOINE AVE STE 203",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070245704",
            "telephone_number": "718-614-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI STATE MEDICAL SUPPLY CO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-14",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A",
        "authorized_official_last_name": "YUN",
        "authorized_official_first_name": "PYONG",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "718-614-0700"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tri State Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tri America Medicine
• Tri America Recovery
• Tri America Teens
• Tri America Tmsketa
• Tri State Medical Management
• Triune Health Restoration Systems LLC
• Tru Acupuncture & Herbs LLC
• Trustees of Columbia University in the City of New York
• Stephen James Tsoucaris, DMD
• Thomas Chang Uhm, R.PH.

• Durable Medical Equipment & Medical Supplies in Fort Lee, NJ
• Providers in Fort Lee, NJ by specialty
• Durable Medical Equipment & Medical Supplies in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.