Tri State Medical Associates PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

167850 Issued in NY

Legal business name

TRI STATE MEDICAL ASSOCIATES PC

Practice address

931 Hallock Ave
Port Jefferson Station, NY 11776-1228

Phone

(631) 331-7200

Fax

(631) 642-0245

NPI assigned

Mar 10, 2009

Organization subpart

No

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

Authorized official

Name

Daniela Matranga

Title

Practice Administrator

Phone

(718) 629-5590

Specialties & licenses 2

Addresses

Practitioners 2

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

• Franco Gallo, MD

  • Specialist
  • Port Jefferson Station, NY
  • NPI 1871652727
  NPD (past)
• Lewis Stein, MD

  • Anesthesiology Physician
  • Brooklyn, NY
  • NPI 1306842380

  Specialist

  NPD (past)

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

{
    "created_epoch": "1236643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240790400000",
    "number": "1922249606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1987 UTICA AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112343215",
            "telephone_number": "718-629-5590",
            "fax_number": "718-732-2434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 HALLOCK AVE",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117761228",
            "telephone_number": "631-331-7200",
            "fax_number": "631-642-0245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI STATE MEDICAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-10",
        "last_updated": "2009-04-27",
        "status": "A",
        "authorized_official_last_name": "MATRANGA",
        "authorized_official_first_name": "DANIELA",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "718-629-5590"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "167850",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "182338",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gerardo Tolentino, M.D.
• Alfredo Enrique Torres Gonzalez, M.D
• Ramon Torres
• Town Surgery Ny PLLC
• Linda Melanie Treudler
• Theresa Ann Trifaro, LMT
• Nicole Ashley Trude
• True North Medical at North Suffolk PLLC
• True North Medical Group PC
• Jason Turner

• Specialist in Port Jefferson Station, NY
• Providers in Port Jefferson Station, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2009; 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.