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Organization

Tri State Health and Wellness Medical Care Center PC

NPI Record: ActiveGeneral Practice
NPI1154661593
Fair Lawn, New Jersey

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 identified

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

Not checked

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.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • General Practice

    Allopathic & Osteopathic Physicians

    Primary

    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 207KA0200X
  • Family Medicine

    Addiction Medicine

    Allopathic & Osteopathic Physicians

    A family medicine physician who specializes in the diagnosis and treatment of addictions.

    Taxonomy code 207QA0401X
  • Family Medicine

    Adult Medicine

    Allopathic & Osteopathic Physicians

    The NUCC recommends this code not be used. Choose a more appropriate code.

    Taxonomy code 207QA0505X
  • Internal 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 207RA0000X
  • Internal 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 207RA0401X
  • Internal 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 207RC0000X
  • Internal 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 207RE0101X
  • Internal 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 207RI0011X
  • Internal 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
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

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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