Tri-State Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

25MB06848500 Issued in NJ

Legal business name

TRI-STATE SURGERY CENTER LLC

Practice address

3 Winslow PL
1St Floor
Paramus, NJ 07652-2709

Phone

(201) 546-1890

Fax

(201) 546-1893

NPI assigned

Feb 26, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Michael Gartner, D.O.NPI 1780619171

Title

Owner

Phone

(201) 546-1890

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Ambulatory surgical center certification: CCN 31C0001255

Legal name

TRI-STATE SURGERY CENTER, LLC

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Feb 9, 2010

Last certification

Feb 19, 2013

Ownership / control type

Proprietary

Facility address

3 Winslow Place
Paramus, NJ 07652

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Constantin Gartner, DO

  • Plastic Surgery Physician
  • Paramus, NJ
  • NPI 1780619171
  NPD (past) Authorized official

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

{
    "created_epoch": "1235606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238544000000",
    "number": "1669612990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 WINSLOW PL",
            "address_2": "1ST FLOOR",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076522709",
            "telephone_number": "201-546-1890",
            "fax_number": "201-546-1893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 WINSLOW PL",
            "address_2": "1ST FLOOR",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076522709",
            "telephone_number": "201-546-1890",
            "fax_number": "201-546-1893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-STATE SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-26",
        "last_updated": "2009-04-01",
        "status": "A",
        "authorized_official_last_name": "GARTNER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-546-1890",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NJ",
            "license": "25MB06848500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Helen Torunidis
• Margaret Mary Touw, RN, MS
• Town Chiropractor Paramus LLC
• Brianna Marie Tremblay, NP
• Arcellie Treopaldo
• Tribe Wellness LLC
• Joseph Allan Trinidad, PT, DPT
• Trinity Rehab Somerset PA (Trinity Rehab Paramus)
• Denisse Tristancho, BCBA
• Amit Trivedi, MD

• Ambulatory Surgical Clinic/Center in Paramus, NJ
• Providers in Paramus, NJ by specialty
• Ambulatory Surgical Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.