Organization Active NPI

Tri-State Physicians Inc

  • Internal Medicine Physician
  • Newark, DE
National Provider Identifier
1720504905
Registry record updated Aug 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
CI-0011974 Issued in DE
Legal business name
TRI-STATE PHYSICIANS INC
Doing business as
Tri-State Physicians Inc
Practice address
266 South College Ave
Newark, DE 19711
Phone
(302) 290-6095
NPI assigned
Aug 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2017

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

Authorized official

Name
Mrs. Saira Perwaiz Shah
Title
Medical Director
Phone
(302) 290-6095

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X CI-0011974 DE Primary

Addresses

Primary practice location

266 South College Ave
Newark, DE 19711

Mailing address

266 S College Ave
Newark, DE 19711-5235

Other names 1

  • Tri-State Physicians Inc Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1503014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503014400000",
    "number": "1720504905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "266 S COLLEGE AVE",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197115235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 SOUTH COLLEGE AVE",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "19711",
            "telephone_number": "302-290-6095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-STATE PHYSICIANS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-18",
        "last_updated": "2017-08-18",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "SAIRA",
        "authorized_official_middle_name": "PERWAIZ",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "302-290-6095",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "DE",
            "license": "CI-0011974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tri-State Physicians Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newark, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2017; 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.