TRI STATE HEALTH AND WELLNESS MEDICAL CARE CENTER PC
TRI STATE HEALTH AND WELLNESS MEDICAL CARE CENTER PC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1154661593, based in Fair Lawn, NJ. The organization lists 10 taxonomy classifications, with General Practice Physician recorded as primary.
Getting there
The practice address on file is 31-00 BROADWAY 1ST FLOOR, Fair Lawn, NJ 07410. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 25MB06860100 | NJ | Allergy Physician |
| 25MB06860100 | NJ | Addiction Medicine (Family Medicine)… |
| 25MB06860100 | NJ | Adult Medicine Physician |
| 25MB06860100 | NJ | Adolescent Medicine (Internal Medicine)… |
| 25MB06860100 | NJ | Addiction Medicine (Internal Medicine)… |
| 25MB06860100 | NJ | Cardiovascular Disease Physician |
| 25MB06860100 | NJ | Endocrinology, Diabetes & Metabolism… |
| 25MB06860100 | NJ | Interventional Cardiology Physician |
| 25MB06860100 | NJ | Sports Medicine (Internal Medicine)… |
| 25MB06860100 | NJ | General Practice Physician primary |
This provider holds licence 25MB06860100 issued in NJ. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What General Practice covers
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. NUCC Health Care Provider Taxonomy, code 208D00000X
All registered taxonomy codes
This provider registers 10 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 207KA0200X | Allergy Physician Allergy | 25MB06860100 | NJ | |
| 207QA0401X | Addiction Medicine (Family Medicine) Physician Addiction Medicine | 25MB06860100 | NJ | |
| 207QA0505X | Adult Medicine Physician Adult Medicine | 25MB06860100 | NJ | |
| 207RA0000X | Adolescent Medicine (Internal Medicine) Physician Adolescent Medicine | 25MB06860100 | NJ | |
| 207RA0401X | Addiction Medicine (Internal Medicine) Physician Addiction Medicine | 25MB06860100 | NJ | |
| 207RC0000X | Cardiovascular Disease Physician Cardiovascular Disease | 25MB06860100 | NJ | |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician Endocrinology, Diabetes & Metabolism | 25MB06860100 | NJ | |
| 207RI0011X | Interventional Cardiology Physician Interventional Cardiology | 25MB06860100 | NJ | |
| 207RS0010X | Sports Medicine (Internal Medicine) Physician Sports Medicine | 25MB06860100 | NJ | |
| 208D00000X | General Practice Physician | 25MB06860100 | NJ | primary |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1154661593 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Feb 21, 2013 |
| Last updated | Feb 21, 2013 |
| Status | Active |
| Practice address |
31-00 BROADWAY 1ST FLOOR Fair Lawn, NJ 07410 (201) 741-5891 Fax (201) 791-7337 |
| Mailing address |
31-00 BROADWAY Fair Lawn, NJ 07410 |
| Other identifiers |
7912404
· Medicaid (NJ) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 1 | 5 | 4 | 6 | 6 | 1 | 5 | 9 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 1 | 1 | 4 | 3 | 6 | 2 | 5 | 9 |
Sum = 57 · next multiple of 10 = 60 · check digit = 3 · actual last digit = 3
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.