Tri State Surgical Associates PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

216778 Issued in NY

Legal business name

TRI STATE SURGICAL ASSOCIATES PLLC

Practice address

384 Crystal Run Rd
Suite 201
Middletown, NY 10941-4013

Phone

(845) 692-8780

Fax

(845) 692-3439

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Gina Kowal

Title

Billing Manager

Phone

(845) 692-8780

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 12

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

• Jody Cepeda, FNP

  • Family Nurse Practitioner
  • Middletown, NY
  • NPI 1801967484
  Medicare reassignment Care Compare group NPD
• Vasu Chirumamilla, M.D.

  • Surgery Physician
  • Suffern, NY
  • NPI 1366786998
  Medicare reassignment Care Compare group NPD
• Ramon E. Rivera, M.D.

  • Surgery Physician
  • Suffern, NY
  • NPI 1841299005
  Medicare reassignment Care Compare group NPD
• Jaime Cepeda, MD

  • Surgery Physician
  • Middletown, NY
  • NPI 1811932965
  Medicare reassignment Care Compare group
• Laura De Andrade, N.P.

  • Adult Health Nurse Practitioner
  • Suffern, NY
  • NPI 1952639015
  Medicare reassignment NPD
• Elizabeth Ann Handler, NP-C

  • Adult Health Nurse Practitioner
  • Valhalla, NY
  • NPI 1972943462
  Medicare reassignment NPD
• Daniel W Tarallo, PA

  • Medical Physician Assistant
  • Middletown, NY
  • NPI 1437486941
  Medicare reassignment
• Jeffrey A Braisted, A.S.R.T.,R

  • Computed Tomography Radiologic Technologist
  • Middletown, NY
  • NPI 1447573332
  NPD (past)
• Barbara J Heckman, NP

  • Family Nurse Practitioner
  • Middletown, NY
  • NPI 1912015397
  NPD (past)
• German Restrepo, ANP

  • Adult Health Nurse Practitioner
  • Orlando, FL
  • NPI 1023332848
  NPD (past)
• Giacomo Vladimir Vinces, D.O.

  • Family Medicine Physician
  • Miramar, FL
  • NPI 1861500258
  NPD (past)
• Tara Lynn Zychowicz, FNP

  • Family Nurse Practitioner
  • Chapel Hill, NC
  • NPI 1861420739
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698796800000",
    "number": "1801993175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "384 CRYSTAL RUN RD",
            "address_2": "SUITE 201",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109414013",
            "telephone_number": "845-692-8780",
            "fax_number": "845-692-3439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "384 CRYSTAL RUN RD",
            "address_2": "SUITE 201",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109414013",
            "telephone_number": "845-692-8780",
            "fax_number": "845-692-3439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI STATE SURGICAL ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A",
        "authorized_official_last_name": "KOWAL",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "845-692-8780"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "216778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Trapp, MD
• Michael Aaron Traub, MD
• Shanalynn Josefina Trent Powe, REGISTERED NURSE
• Erena Treskova, MD
• Tri State Eye Ophthalmology of Middletown PC
• Trinity Community Living Inc
• Ruth Tropeano, NP
• Mary Truesdel
• Chenhan Mike Tsai, DO
• Tsai-Lung Tsai, D.O.

• Specialist in Middletown, NY
• Providers in Middletown, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.