Organization Active NPI

Tristan Associates

  • Diagnostic Radiology Physician
  • Hershey, PA
National Provider Identifier
1669458402
Registry record updated Apr 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
TRISTAN ASSOCIATES
Practice address
32 Northeast Dr
Ste 101
Hershey, PA 17033-2755
Phone
(717) 533-1736
Fax
(717) 534-1307
NPI assigned
Dec 22, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2008

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

Authorized official

Name
Mr. Paul Deloia
Title
Ceo Tristan Associates
Phone
(717) 652-6105

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

32 Northeast Dr
Ste 101
Hershey, PA 17033-2755

Mailing address

4520 Union Deposit Rd
Harrisburg, PA 17111-2910
Phone (717) 652-6105

Other identifiers 2

IdentifierTypeStateIssuer
CA9270OtherPARAILROAD MEDICARE
0671945MedicaidPA

National Provider Directory

National Provider Directory

Locations

2626 N 3rd St
Harrisburg, PA 17110
Phone (717) 232-5443

NPI Registry JSON

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207526400000",
    "number": "1669458402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4520 UNION DEPOSIT RD",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171112910",
            "telephone_number": "717-652-6105",
            "fax_number": "717-652-2165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 NORTHEAST DR",
            "address_2": "STE 101",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170332755",
            "telephone_number": "717-533-1736",
            "fax_number": "717-534-1307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRISTAN ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-22",
        "last_updated": "2008-04-07",
        "status": "A",
        "authorized_official_last_name": "DELOIA",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "CEO TRISTAN ASSOCIATES",
        "authorized_official_telephone_number": "717-652-6105",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CA9270",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0671945",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hershey, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2008; 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.