TRISTATE MEDICAL AND WELLNESS, LLC
NPI 1932707452
Clinic/Center - Multi-Specialty in Verona, NJ

Active since October 16, 2020
19 HATHAWAY LN, VERONA, NJ 07044(917) 294-4620 Get Directions Write a Review

NPPES record last updated: October 16, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tristate Medical And Wellness, Llc NPPES

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

TRISTATE MEDICAL AND WELLNESS, LLC (NPI 1932707452) is a healthcare organization registered as a multi-specialty in Verona, New Jersey and active in the NPI registry since October 2020. The organization lists Jeannette Gonzalez Simon, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1932707452
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameTRISTATE MEDICAL AND WELLNESS, LLC
Location Address19 HATHAWAY LNVerona, NJ 07044-2306
Mailing Address19 Hathaway LnVerona, NJ 07044-2306
Organization SubpartNo
Authorized OfficialJeannette Gonzalez SimonMedical Director · (917) 294-4620
Enumeration DateOctober 16, 2020
NPPES CertifiedOctober 16, 2020
NPI 1932707452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
19 HATHAWAY LN, Verona, NJ 07044

Other Providers at the Same Location NPPES 2

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

Pediatrics (Pediatric Gastroenterology)
19 HATHAWAY LN
VERONA, NJ 07044
Physical Therapist (Orthopedic)
19 HATHAWAY LN
VERONA, NJ 07044

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 Medical And Wellness, LLC's NPI number?

The NPI number for Tristate Medical And Wellness, LLC is 1932707452. It was assigned to this organization in the NPPES registry on October 16, 2020.

Where is Tristate Medical And Wellness, LLC located?

Tristate Medical And Wellness, LLC is located at 19 Hathaway Ln, Verona, NJ 07044. The listed phone number is (917) 294-4620.

What is Tristate Medical And Wellness, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Tristate Medical And Wellness, LLC was last updated on October 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.