TRISTATE WELLNESS & MEDICAL CARE PA
NPI 1952739476
Internal Medicine in Wantage, NJ

Q: What is Tristate Wellness & Medical Care PA's NPI number?

The NPI number for Tristate Wellness & Medical Care PA is 1952739476. It was assigned to this organization in the NPPES registry on October 18, 2013.

Q: What is Tristate Wellness & Medical Care PA's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since October 18, 2013CLIA 31D2070636 · Waiver

199 ROUTE 284, WANTAGE, NJ 07461(973) 875-7121(973) 875-7123 Get Directions Write a Review

NPPES record last updated: October 18, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Tristate Wellness & Medical Care Pa NPPES

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

TRISTATE WELLNESS & MEDICAL CARE PA (NPI 1952739476) is a healthcare organization registered as an internal medicine in Wantage, New Jersey and active in the NPI registry since October 2013. The organization holds a CLIA Waiver certificate valid through December 19, 2027 and lists Sami Yasin, President, as its authorized official.

NPPES Registry Identity

NPI1952739476

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameTRISTATE WELLNESS & MEDICAL CARE PA

Location Address199 ROUTE 284Wantage, NJ 07461-3417

Mailing Address199 Route 284Wantage, NJ 07461-3417 · (973) 875-7121 · Fax (973) 875-7123

Phone(973) 875-7121

Fax(973) 875-7123

Organization SubpartNo

Authorized OfficialSami YasinPresident · (973) 875-7121

Enumeration DateOctober 18, 2013

✔ NPI 1952739476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in NJ · 25MA05330800✔ Licensed in NY · 197792-1✔ Licensed in MI · 4301087529

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedInternal Medicine · Infectious DiseaseTaxonomy 207RI0200X · License 25MA05330800 (NJ), 197792-1 (NY), 4301087529 (MI)

199 ROUTE 284, Wantage, NJ 07461

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Other Identifiers 4

Medicaid342010801NJ

Medicaid01496762NY

Medicare UPINE29949NJ

Medicaid1054395NJ

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tristate Wellness & Medical Care Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Tristate Wellness & Medical Care PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Sami Yasin, M.D.

Internal Medicine

NPI 1316007651

199 STATE RT 284
Wantage, NJ 07461

(973) 875-7121

✔ PECOS✔ Accepts MedicareSame address

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D2070636

Tristate Wellness & Medical Care PA · Wantage, NJ

Active · expires Dec 19, 2027

CLIA Number31D2070636

Laboratory TypePhysician Office

Certificate Effective DateDecember 20, 2025

Certificate Expiration DateDecember 19, 2027

Laboratory DirectorSami F. Yasin

Laboratory Phone(973) 875-7121

Laboratory LocationTristate Wellness & Medical Care PA199 State Route 284, Wantage, NJ 07461

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Wellness & Medical Care PA's NPI number?

The NPI number for Tristate Wellness & Medical Care PA is 1952739476. It was assigned to this organization in the NPPES registry on October 18, 2013.

Where is Tristate Wellness & Medical Care PA located?

Tristate Wellness & Medical Care PA is located at 199 Route 284, Wantage, NJ 07461. The listed phone number is (973) 875-7121.

What is Tristate Wellness & Medical Care PA's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Tristate Wellness & Medical Care PA enrolled in Medicare?

Yes. Tristate Wellness & Medical Care PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tristate Wellness & Medical Care PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Tristate Wellness & Medical Care PA. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Tristate Wellness & Medical Care PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2070636) is associated with this NPI, valid through December 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Tristate Wellness & Medical Care PA was last updated on October 18, 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.