Tristate Mobile Medical and Dental Services LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

TRISTATE MOBILE MEDICAL AND DENTAL SERVICES LLC

Practice address

23 Reynolds Ave
Parsippany, NJ 07054-3323

Phone

(212) 388-5953

NPI assigned

Oct 24, 2018

Last updated

Oct 24, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nick Nicoloff

Title

Owner

Phone

(917) 338-7644

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1540339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540339200000",
    "number": "1720555048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 REYNOLDS AVE",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070543323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 REYNOLDS AVE",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070543323",
            "telephone_number": "212-388-5953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRISTATE MOBILE MEDICAL AND DENTAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-24",
        "last_updated": "2018-10-24",
        "status": "A",
        "authorized_official_last_name": "NICOLOFF",
        "authorized_official_first_name": "NICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-338-7644"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Tran
• Tranquil Solutions (Maureen Agens)
• Karl Lawrence Trappe, PH. D
• Trinity Medical Supply LLC
• Trinity Rehab Somerset PA (Trinity Rehab Parsippany)
• Jamie Troutman
• Troyhills Medical Group, PA
• Truepathlivingsupportllc
• Paula Tyson
• Umerica Rise, LLC

• Internal Medicine Physician in Parsippany, NJ
• Providers in Parsippany, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.