TRI STATE MEDICAL ASSOC. P.C. NPI 1679503726

NPI Information

  • NPI: 1679503726
  • Provider Name: TRI STATE MEDICAL ASSOC. P.C.
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Organization
  • Address: 906 PENNSYLVANIA AVE
    MATAMORAS, PA
    ZIP 18336
  • Phone: (579) 491-4164

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NPI Details

TRI STATE MEDICAL ASSOC. P.C. is an internal medicine in Matamoras, PA. The provider is 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. TRI STATE MEDICAL ASSOC. P.C. NPI is 1679503726. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

906 PENNSYLVANIA AVE
MATAMORAS, PA
ZIP 18336-542
Phone: (579) 491-4164
Fax: (570) 491-5186

The provider's authorized official is Jeffrey C Auerbach .
The authorized official title is Treasurer and has the following contact phone number (579) 491-4164.

The enumeration date for this NPI number is 7/4/2006 and was last updated on 1/10/2008.

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
1207R00000XInternal MedicineOSOO4513LLPENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1037785MEDICARE PINPENNSYLVANIA
2CD3145OTHERPENNSYLVANIARAIL ROAD MEDICARE
37001046MEDICAIDPENNSYLVANIA
4974061MEDICARE PINNEW YORK
50064202000OTHERPENNSYLVANIAPERSONAL CHOICE
6165007OTHERPENNSYLVANIAFIRST PRIORITY
737785OTHERPENNSYLVANIAPA BLUE SHIELD
8117236OTHERPENNSYLVANIAMVP HEALTHCARE

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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