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TRISTATE DOMESTIC,LLC
NPI 1164620803
Private Vehicle in East Orange, NJ

Active since July 04, 2007
12 EVERETT ST, EAST ORANGE, NJ 07017(973) 678-3030 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Tristate Domestic,llc NPPES

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

TRISTATE DOMESTIC,LLC (NPI 1164620803) is a healthcare organization registered as a private vehicle in East Orange, New Jersey and active in the NPI registry since July 2007. The organization lists Dominick Iacoviello, President, as its authorized official.

NPPES Registry Identity

NPI1164620803
Entity TypeOrganization
Primary Taxonomy347C00000X
Legal Business NameTRISTATE DOMESTIC,LLC
Location Address12 EVERETT STEast Orange, NJ 07017-1740
Mailing Address12 Everett StEast Orange, NJ 07017-1740
Phone(973) 678-3030
Organization SubpartNo
Authorized OfficialDominick IacovielloPresident · (973) 678-3030
Enumeration DateJuly 4, 2007
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1164620803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPrivate VehicleTransportation Services
Taxonomy Code347C00000X
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
Also ListedHome HealthTaxonomy 251E00000X
Also ListedNon-emergency Medical Transport (VAN)Taxonomy 343900000X
12 EVERETT ST, East Orange, NJ 07017
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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 Tristate Domestic,llc's NPI number?

The NPI number for Tristate Domestic,llc is 1164620803. It was assigned to this organization in the NPPES registry on July 4, 2007.

Where is Tristate Domestic,llc located?

Tristate Domestic,llc is located at 12 Everett St, East Orange, NJ 07017. The listed phone number is (973) 678-3030.

What is Tristate Domestic,llc's specialty?

The primary specialty registered for this NPI is Private Vehicle with taxonomy code 347C00000X.

When was this NPI record last updated?

The NPPES record for Tristate Domestic,llc was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.