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TRI COUNTY MEDICAL ASSOCIATE PC
NPI 1194709253
Family Medicine in Woodridge, NY

Active since December 02, 2005
20 BROADWAY, WOODRIDGE, NY 12789(845) 434-6333(845) 434-2346 Get Directions Write a Review

NPPES record last updated: September 28, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tri County Medical Associate Pc NPPES

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

TRI COUNTY MEDICAL ASSOCIATE PC (NPI 1194709253) is a healthcare organization registered as a family medicine in Woodridge, New York and active in the NPI registry since December 2005. The organization lists Renu S Jerath, Doctor Owner, as its authorized official.

NPPES Registry Identity

NPI1194709253
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameTRI COUNTY MEDICAL ASSOCIATE PC
Location Address20 BROADWAYWoodridge, NY 12789-0546
Mailing AddressPo Box 546, 20 BroadwayWoodridge, NY 12789-0546 · (845) 434-6333 · Fax (845) 434-2346
Phone(845) 434-6333
Fax(845) 434-2346
Organization SubpartNo
Authorized OfficialRenu S JerathDoctor Owner · (845) 434-6333
Enumeration DateDecember 2, 2005
Last NPPES UpdateSeptember 28, 2007
✔ NPI 1194709253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 153068-2
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
20 BROADWAY, Woodridge, NY 12789
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Other Identifiers 1

Medicare PINWANP61NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 County Medical Associate PC's NPI number?

The NPI number for Tri County Medical Associate PC is 1194709253. It was assigned to this organization in the NPPES registry on December 2, 2005.

Where is Tri County Medical Associate PC located?

Tri County Medical Associate PC is located at 20 Broadway, Woodridge, NY 12789. The listed phone number is (845) 434-6333.

What is Tri County Medical Associate PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Tri County Medical Associate PC was last updated on September 28, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.