TRI STATE MEDICAL ASSOCIATES PC
NPI 1922249606
Specialist in Port Jefferson Station, NY

Active since March 10, 2009
931 HALLOCK AVE, PORT JEFFERSON STATION, NY 11776(631) 331-7200(631) 642-0245 Get Directions Write a Review

NPPES record last updated: April 27, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Tri State Medical Associates Pc NPPES

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

TRI STATE MEDICAL ASSOCIATES PC (NPI 1922249606) is a healthcare organization registered as a specialist in Port Jefferson Station, New York and active in the NPI registry since March 2009. The organization lists Daniela Matranga, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1922249606
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameTRI STATE MEDICAL ASSOCIATES PC
Location Address931 HALLOCK AVEPort Jefferson Station, NY 11776-1228
Mailing Address1987 Utica AveBrooklyn, NY 11234-3215 · (718) 629-5590 · Fax (718) 732-2434
Fax(631) 642-0245
Organization SubpartNo
Authorized OfficialDaniela MatrangaPractice Administrator · (718) 629-5590
Enumeration DateMarch 10, 2009
Last NPPES UpdateApril 27, 2009
NPI 1922249606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Licenses Licensed in NY · 167850 Licensed in NY · 182338
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

931 HALLOCK AVE, Port Jefferson Station, NY 11776

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

Other Providers at the Same Location NPPES 9

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

Specialist
931 HALLOCK AVE
PORT JEFFERSON STATION, NY 11776
Nurse Practitioner (Adult Health)
931 HALLOCK AVE
PORT JEFFERSON STATION, NY 11776
Nurse Practitioner (Adult Health)
931 HALLOCK AVE
PORT JEFFERSON STATION, NY 11776
Nurse Practitioner (Adult Health)
931 HALLOCK AVE
PORT JEFFERSON STATION, NY 11776
Anesthesiology
931 HALLOCK AVE
PORT JEFFERSON STATION, NY 11776
Nurse Practitioner (Adult Health)
931 HALLOCK AVE
PORT JEFFERSON STATION, NY 11776
Nurse Practitioner (Adult Health)
931 HALLOCK AVE
PORT JEFFERSON STATION, NY 11776
Nurse Practitioner (Adult Health)
931 HALLOCK AVE
PORT JEFFERSON STATION, NY 11776

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 Associates PC's NPI number?

The NPI number for Tri State Medical Associates PC is 1922249606. It was assigned to this organization in the NPPES registry on March 10, 2009.

Where is Tri State Medical Associates PC located?

Tri State Medical Associates PC is located at 931 Hallock Ave, Port Jefferson Station, NY 11776. The listed phone number is (631) 331-7200.

What is Tri State Medical Associates PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Tri State Medical Associates PC was last updated on April 27, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.