Tri-State Healthy

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

TRI-STATE HEALTHY

Practice address

554 Bloomfield Ave
Suite 301
Bloomfield, NJ 07003-3307

Phone

(201) 791-7771

Fax

(201) 791-7337

NPI assigned

Sep 23, 2013

Organization subpart

No

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

Authorized official

Name

Aleksandr Martirosov, D.O

Title

Owner

Phone

(201) 791-7771

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1379894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379894400000",
    "number": "1215363254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "554 BLOOMFIELD AVE",
            "address_2": "SUITE 301",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070033307",
            "telephone_number": "201-791-7771",
            "fax_number": "201-791-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "554 BLOOMFIELD AVE",
            "address_2": "SUITE 301",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070033307",
            "telephone_number": "201-791-7771",
            "fax_number": "201-791-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-STATE HEALTHY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-23",
        "last_updated": "2013-09-23",
        "status": "A",
        "authorized_official_last_name": "MARTIROSOV",
        "authorized_official_first_name": "ALEKSANDR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-791-7771",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Loida P Togonon, RN
• David Stanley Tomaszewicz, D.M.D.
• Township of Bloomfield
• Township of Bloomfield
• Township of Bloomfield
• Bruce A. Troast, OPTICIAN
• Becky Tucci, DPT
• Maria Turizo, MD
• Efigenia Ames Ubaldo, M.S. SPECIAL EDUCATI
• Umdnj

• Family Medicine Physician in Bloomfield, NJ
• Providers in Bloomfield, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2013; 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.