TRI-STATE HEALTHY
NPI 1215363254
Family Medicine in Bloomfield, NJ

NPI Status: Active since September 23, 2013

Contact Information

554 BLOOMFIELD AVE
SUITE 301
BLOOMFIELD, NJ
ZIP 07003
Phone: (201) 791-7771
Fax: (201) 791-7337

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  • Organization
  • Family Medicine

About TRI-STATE HEALTHY

This page provides the complete NPI Profile along with additional information for Tri-state Healthy, a primary care provider established in Bloomfield, New Jersey operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1215363254 assigned on September 2013. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Aleksandr Martirosov D.o (Owner)

NPI
1215363254
Provider Name
TRI-STATE HEALTHY
Entity Type
Organization
Location Address
554 BLOOMFIELD AVE SUITE 301 BLOOMFIELD, NJ 07003
Location Phone
(201) 791-7771
Location Fax
(201) 791-7337
Mailing Address
554 BLOOMFIELD AVE SUITE 301 BLOOMFIELD, NJ 07003
Mailing Phone
(201) 791-7771
Mailing Fax
(201) 791-7337
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-23-2013
Last Update Date
09-23-2013
Code Navigator

A primary care provider (PCP) like Tri-state Healthy sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207QA0401XAllopathic & Osteopathic Physicians

Family Medicine
Addiction Medicine

 

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ALEKSANDR MARTIROSOV D.O

Authorized Official Title
OWNER
Authorized Official Phone
(201) 791-7771

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
026128R77MEDICARE PIN (08)NJ 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1215363254, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
1
Doubled → 2
Pos 4
5
Unchanged
Pos 5
3
Doubled → 6
Pos 6
6
Unchanged
Pos 7
3
Doubled → 6
Pos 8
2
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 3 → 6 3 → 6 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 2 + 5 + 6 + 6 + 6 + 2 + 1 + 0 + 24 = 56

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1215363254.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Non-emergency Medical Transport (VAN)
554 BLOOMFIELD AVE, SUITE 3D
BLOOMFIELD, NJ 07003
Community/Behavioral Health
554 BLOOMFIELD AVE, SECOND FLOOR
BLOOMFIELD, NJ 07003
Case Management
554 BLOOMFIELD AVE, SUITE 201, 2ND FLOOR
BLOOMFIELD, NJ 07003
Non-emergency Medical Transport (VAN)
554 BLOOMFIELD AVE, SUITE # 2B
BLOOMFIELD, NJ 07003
Dentist (Endodontics)
554 BLOOMFIELD AVE
BLOOMFIELD, NJ 07003

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215363254, enumerated as an "organization" on September 23, 2013.

The provider is located at 554 BLOOMFIELD AVE SUITE 301 BLOOMFIELD, NJ 07003 and the phone number is (201) 791-7771.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.