TRI-STATE MEDICAL GROUP LLC
NPI 1023618592
Durable Medical Equipment & Medical Supplies in Boca Raton, FL

Q: What is Tri-State Medical Group LLC's NPI number?

The NPI number for Tri-State Medical Group LLC is 1023618592. It was assigned to this organization in the NPPES registry on October 26, 2020.

Q: What is Tri-State Medical Group LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Active since October 26, 2020

2621 N FEDERAL HWY STE S, BOCA RATON, FL 33431(800) 607-4491(561) 757-5850 Get Directions Write a Review

NPPES record last updated: October 26, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Tri-state Medical Group Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRI-STATE MEDICAL GROUP LLC (NPI 1023618592) is a healthcare organization registered as a durable medical equipment & medical supplies in Boca Raton, Florida and active in the NPI registry since October 2020. The organization lists Peter Mordukhayev, Authorized Offical, as its authorized official.

NPPES Registry Identity

NPI1023618592

Entity TypeOrganization

Primary Taxonomy332B00000X

Legal Business NameTRI-STATE MEDICAL GROUP LLC

Location Address2621 N FEDERAL HWY STE SBoca Raton, FL 33431-7785

Mailing Address2621 N Federal Hwy Ste SBoca Raton, FL 33431-7785 · (800) 607-4491 · Fax (561) 757-5850

Phone(800) 607-4491

Fax(561) 757-5850

Organization SubpartNo

Authorized OfficialPeter MordukhayevAuthorized Offical · (800) 607-4491

Enumeration DateOctober 26, 2020

NPPES CertifiedOctober 26, 2020

✔ NPI 1023618592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers

Taxonomy Code332B00000X

Definition

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

2621 N FEDERAL HWY STE S, Boca Raton, FL 33431

Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tri-State Medical Group LLC's NPI number?

The NPI number for Tri-State Medical Group LLC is 1023618592. It was assigned to this organization in the NPPES registry on October 26, 2020.

Where is Tri-State Medical Group LLC located?

Tri-State Medical Group LLC is located at 2621 N Federal Hwy Ste S, Boca Raton, FL 33431. The listed phone number is (800) 607-4491.

What is Tri-State Medical Group LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Tri-State Medical Group LLC was last updated on October 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.