Provider Demographics
NPI:1487119905
Name:TRIPOINT MEDICAL CARE
Entity type:Organization
Organization Name:TRIPOINT MEDICAL CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLER/OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ANA
Authorized Official - Middle Name:
Authorized Official - Last Name:DIAZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-333-4937
Mailing Address - Street 1:680 BROADWAY STE 506
Mailing Address - Street 2:
Mailing Address - City:PATERSON
Mailing Address - State:NJ
Mailing Address - Zip Code:07514-1530
Mailing Address - Country:US
Mailing Address - Phone:973-333-4937
Mailing Address - Fax:973-739-8026
Practice Address - Street 1:680 BROADWAY STE 506
Practice Address - Street 2:
Practice Address - City:PATERSON
Practice Address - State:NJ
Practice Address - Zip Code:07514-1530
Practice Address - Country:US
Practice Address - Phone:973-333-4937
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-08
Last Update Date:2019-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service