Organization Active NPI

Tristate Multispecialty Medical Services PC

  • Medical Specialty Clinic/Center
  • Hackensack, NJ
National Provider Identifier
1497243232
Registry record updated Apr 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
25MA06841300 Issued in NJ
Legal business name
TRISTATE MULTISPECIALTY MEDICAL SERVICES PC
Practice address
126 State St FL 1
Hackensack, NJ 07601-5448
Phone
(973) 420-0239
NPI assigned
Apr 26, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2018

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

Authorized official

Name
Dr. Allan Weissman, MD
Title
Owner
Phone
(973) 420-0239

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 25MA06841300 NJ Primary

Addresses

Primary practice location

126 State St FL 1
Hackensack, NJ 07601-5448

Mailing address

126 State St FL 1
Hackensack, NJ 07601-5448
Phone (973) 420-0239

Other identifiers 1

IdentifierTypeStateIssuer
25MA06841300OtherNJMEDICAL DOCTOR

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1524700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524700800000",
    "number": "1497243232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 STATE ST FL 1",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076015448",
            "telephone_number": "973-420-0239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 STATE ST FL 1",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076015448",
            "telephone_number": "973-420-0239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRISTATE MULTISPECIALTY MEDICAL SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-26",
        "last_updated": "2018-04-26",
        "status": "A",
        "authorized_official_last_name": "WEISSMAN",
        "authorized_official_first_name": "ALLAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-420-0239",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NJ",
            "license": "25MA06841300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL DOCTOR",
            "identifier": "25MA06841300",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2018; 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.