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TRI STATE MEDICAL MANAGEMENT
NPI 1033877717
Radiology - Vascular & Interventional Radiology in Fort Lee, NJ

Active since November 30, 2021
1636 PARKER AVE, 3RD FLOOR, FORT LEE, NJ 07024(973) 630-6666(973) 692-1234 Get Directions Write a Review

NPPES record last updated: November 30, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Tri State Medical Management NPPES

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

TRI STATE MEDICAL MANAGEMENT (NPI 1033877717) is a healthcare organization registered as a vascular & interventional radiology in Fort Lee, New Jersey and active in the NPI registry since November 2021. The organization lists Richard J. Daniels, Partner, as its authorized official.

NPPES Registry Identity

NPI1033877717
Entity TypeOrganization
Primary Taxonomy2085R0204X
Legal Business NameTRI STATE MEDICAL MANAGEMENT
Location Address1636 PARKER AVE, 3RD FLOORFort Lee, NJ 07024
Mailing Address1636 Parker Ave, 3rd FloorFort Lee, NJ 07024 · (973) 630-6666 · Fax (973) 692-1234
Phone(973) 630-6666
Fax(973) 692-1234
Organization SubpartNo
Authorized OfficialRichard J. DanielsPartner · (732) 598-4226
Enumeration DateNovember 30, 2021
NPPES CertifiedNovember 30, 2021
✔ NPI 1033877717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0204X
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
Also ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X
1636 PARKER AVE, 3RD FLOOR, Fort Lee, NJ 07024
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Management's NPI number?

The NPI number for Tri State Medical Management is 1033877717. It was assigned to this organization in the NPPES registry on November 30, 2021.

Where is Tri State Medical Management located?

Tri State Medical Management is located at 1636 Parker Ave, 3rd Floor, Fort Lee, NJ 07024. The listed phone number is (973) 630-6666.

What is Tri State Medical Management's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

When was this NPI record last updated?

The NPPES record for Tri State Medical Management was last updated on November 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.