TRI-STATE HEALTH AND WELLNESS MEDICAL CARE CENTER PC
NPI 1942457023
Clinic/Center - Health Service in Fair Lawn, NJ

Q: What is Tri-State Health And Wellness Medical Care Center PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Active since August 20, 2008

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

NPPES record last updated: October 14, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Tri-state Health And Wellness Medical Care Center Pc NPPES

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

TRI-STATE HEALTH AND WELLNESS MEDICAL CARE CENTER PC (NPI 1942457023) is a healthcare organization registered as a health service in Fair Lawn, New Jersey and active in the NPI registry since August 2008. The organization lists Aleksandr Martirosov, Family Practice, as its authorized official.

NPPES Registry Identity

NPI1942457023

Entity TypeOrganization

Primary Taxonomy261QH0100X

Legal Business NameTRI-STATE HEALTH AND WELLNESS MEDICAL CARE CENTER PC

Location Address31-00 BROADWAY, 1ST FL.Fair Lawn, NJ 07410-3963

Mailing Address31-00 Broadway, 1st Fl.Fair Lawn, NJ 07410-3963

Phone(201) 791-7771

Fax(201) 791-7337

Organization SubpartNo

Authorized OfficialAleksandr MartirosovFamily Practice · (201) 791-7771

Enumeration DateAugust 20, 2008

Last NPPES UpdateOctober 14, 2013

✔ NPI 1942457023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities

Taxonomy Code261QH0100X

31-00 BROADWAY, Fair Lawn, NJ 07410

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Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tri-state Health And Wellness Medical Care Center Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Tri-State Health And Wellness Medical Care Center PC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Aleksandr Martirosov, D.O.

Family Practice

NPI 1700931185

31-00 BROADWAY 1ST FLOOR
Fair Lawn, NJ 07410

(201) 791-7771

✔ PECOS0.1 mi

Agnieszka Golabek, A.P.N.

Nurse Practitioner

NPI 1346628567

714 10TH ST
Secaucus, NJ 07094

(201) 368-1717

✔ PECOS✔ Accepts Medicare9.3 mi

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

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 Health And Wellness Medical Care Center PC's NPI number?

The NPI number for Tri-State Health And Wellness Medical Care Center PC is 1942457023. It was assigned to this organization in the NPPES registry on August 20, 2008.

Where is Tri-State Health And Wellness Medical Care Center PC located?

Tri-State Health And Wellness Medical Care Center PC is located at 31-00 Broadway 1st Fl., Fair Lawn, NJ 07410. The listed phone number is (201) 791-7771.

What is Tri-State Health And Wellness Medical Care Center PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Is Tri-State Health And Wellness Medical Care Center PC enrolled in Medicare?

Yes. Tri-State Health And Wellness Medical Care Center PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tri-State Health And Wellness Medical Care Center PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Tri-State Health And Wellness Medical Care Center PC, in Family Practice and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Tri-State Health And Wellness Medical Care Center PC was last updated on October 14, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.