Tristate Medical Associates, PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MA072674 Issued in NJ

Legal business name

TRISTATE MEDICAL ASSOCIATES, PC

Practice address

642 Broad St
2ND Floor, Suite 9
Clifton, NJ 07013-1615

Phone

(973) 614-9500

Fax

(973) 614-8200

NPI assigned

Oct 4, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Marina Belozersky, CPA

Title

Office Manager

Phone

(973) 614-9500

Specialties & licenses 1

Addresses

Practitioners 1

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

• Muhammad A Mirza, MD

  • Internal Medicine Physician
  • Bronx, NY
  • NPI 1881677409
  NPD (past)

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190073600000",
    "number": "1891880019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 163",
            "city": "ROSELAND",
            "state": "NJ",
            "postal_code": "070680163",
            "telephone_number": "973-614-9500",
            "fax_number": "973-614-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "642 BROAD ST",
            "address_2": "2ND FLOOR, SUITE 9",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070131615",
            "telephone_number": "973-614-9500",
            "fax_number": "973-614-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRISTATE MEDICAL ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-09-18",
        "status": "A",
        "authorized_official_last_name": "BELOZERSKY",
        "authorized_official_first_name": "MARINA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "973-614-9500",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MA072674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tri County Endodontics, LLC
• Tri Star Medical Trans Inc
• Tri-County Radiology P.a.
• Trinity Rehab Somerset PA
• Donald G Trischetta, OPTICIAN
• Tristate Pain Relief and Rehabilitation Center PC
• Vivek Parag Trivedi
• Stefan Trnovski, M.D.
• John Troiano, RPH
• Leslie Andrew Trott, ED.D.

• Family Medicine Physician in Clifton, NJ
• Providers in Clifton, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2007; 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.