ALEKSANDR MARTIROSOV D.O.
NPI 1700931185
Family Medicine in Fair Lawn, NJ

Q: What is Aleksandr Martirosov's NPI number?

The NPI number for Aleksandr Martirosov is 1700931185. It was assigned to this individual provider in the NPPES registry on January 24, 2007.

Q: What is Aleksandr Martirosov's specialty?

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

Active since January 24, 2007PECOS Enrolled

31-00 BROADWAY, 1ST FLOOR, FAIR LAWN, NJ 07410(201) 791-7771(201) 791-7337 Get Directions Write a Review

NPPES record last updated: October 18, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Aleksandr Martirosov D.o. NPPES

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

ALEKSANDR MARTIROSOV D.O. (NPI 1700931185) is an individual family medicine provider in Fair Lawn, New Jersey, licensed in New Jersey (25MB06860100) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700931185

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameALEKSANDR MARTIROSOVCredential: D.O.

Location Address31-00 BROADWAY, 1ST FLOORFair Lawn, NJ 07410-3963

Mailing Address31-00 Broadway, 1st FloorFair Lawn, NJ 07410-3963 · (201) 791-7771 · Fax (201) 791-7337

Phone(201) 791-7771

Fax(201) 791-7337

Sole ProprietorNo

Enumeration DateJanuary 24, 2007

Last NPPES UpdateOctober 18, 2010

✔ NPI 1700931185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NJ · 25MB06860100

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.

Also ListedFamily Medicine · Addiction MedicineTaxonomy 207QA0401X · License 25MB06860100 (NJ)

31-00 BROADWAY, Fair Lawn, NJ 07410

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Other Identifiers 2

Medicare UPING65075NJ

Medicare ID-Type Unspecified026128R77NJ

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Aleksandr Martirosov D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Aleksandr Martirosov reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Tri-State Health And Wellness Medical Care Center PC

0.1 mi

Health Service

31-00 BROADWAY, 1ST FL.
Fair Lawn, NJ 07410

Reassigned Medicare billing, New Jersey enrollment
2 clinicians in this Medicare group

NPI 1942457023 (201) 791-7771

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

71 services27 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

25 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07410 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$98.09 typical visit price

range $63.84 – $190.92

Typical copayment $24.52 (range $15.96 – $47.73)

Most-billed visit code 99203

Established Patient

$111.57 typical visit price

range $20.97 – $155.92

Typical copayment $27.89 (range $5.24 – $38.98)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KAREN BALONZE MD

Internal Medicine