Organization
Tri State Health and Wellness Medical Care Center PC
Provider's NPPES record last updated: February 21, 2013
Overview
- Entity Type
- Organization
- NPI
- 1154661593
- Primary Specialty
- General Practice
- Practice Location
- Fair Lawn, New Jersey
- Organization Subpart
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 21, 2026, 4:00 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
General Practice
Allopathic & Osteopathic Physicians
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Taxonomy code 208D00000X Allergy & Immunology
Allergy
Allopathic & Osteopathic Physicians
A physician who specializes in the diagnosis, treatment, and management of allergies.
Taxonomy code 207KA0200XFamily Medicine
Addiction Medicine
Allopathic & Osteopathic Physicians
A family medicine physician who specializes in the diagnosis and treatment of addictions.
Taxonomy code 207QA0401XFamily Medicine
Adult Medicine
Allopathic & Osteopathic Physicians
The NUCC recommends this code not be used. Choose a more appropriate code.
Taxonomy code 207QA0505XInternal Medicine
Adolescent Medicine
Allopathic & Osteopathic Physicians
An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Taxonomy code 207RA0000XInternal Medicine
Addiction Medicine
Allopathic & Osteopathic Physicians
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
Taxonomy code 207RA0401XInternal Medicine
Cardiovascular Disease
Allopathic & Osteopathic Physicians
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Taxonomy code 207RC0000XInternal Medicine
Endocrinology, Diabetes & Metabolism
Allopathic & Osteopathic Physicians
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Taxonomy code 207RE0101XInternal Medicine
Interventional Cardiology
Allopathic & Osteopathic Physicians
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Taxonomy code 207RI0011XInternal Medicine
Sports Medicine
Allopathic & Osteopathic Physicians
An internist trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual.
Taxonomy code 207RS0010X
Provider-Reported License Information
- General Practice (New Jersey)
- 25MB06860100
- Allergy & Immunology (New Jersey)
- 25MB06860100
- Family Medicine (New Jersey)
- 25MB06860100
- Family Medicine (New Jersey)
- 25MB06860100
- Internal Medicine (New Jersey)
- 25MB06860100
- Internal Medicine (New Jersey)
- 25MB06860100
- Internal Medicine (New Jersey)
- 25MB06860100
- Internal Medicine (New Jersey)
- 25MB06860100
- Internal Medicine (New Jersey)
- 25MB06860100
- Internal Medicine (New Jersey)
- 25MB06860100
Practice Locations
Practice Location
31-00 Broadway 1st Floor
Fair Lawn, New Jersey 07410
Phone: (201) 741-5891
Record Information
- Enumeration Date
- February 21, 2013
- Provider's NPPES Record Last Updated
- February 21, 2013
- NPISignal NPPES Dataset
- August 2026
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