TRI STATE MEDICAL MANAGEMENT NPI 1033877717

NPI Information

  • NPI: 1033877717
  • Provider Name: TRI STATE MEDICAL MANAGEMENT
  • Classification: Radiology - 2085R0204X
  • Specialization: Vascular & Interventional Radiology
  • Entity Type: Organization
  • Address: 1636 PARKER AVE, 3RD FLOOR
    FORT LEE, NJ
    ZIP 07024
  • Phone: (973) 630-6666

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NPI Details

TRI STATE MEDICAL MANAGEMENT is a vascular and interventional radiology radiology in Fort Lee, NJ. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. TRI STATE MEDICAL MANAGEMENT NPI is 1033877717. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1636 PARKER AVE, 3RD FLOOR
FORT LEE, NJ
ZIP 07024
Phone: (973) 630-6666
Fax: (973) 692-1234

The provider's authorized official is Richard J. Daniels .
The authorized official title is Partner and has the following contact phone number (732) 598-4226.

The enumeration date for this NPI number is 11/30/2021 and was last updated on 11/30/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213ES0103XPodiatristFoot & Ankle SurgeryNo
22085R0204XRadiologyVascular & Interventional RadiologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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