TRI-STATE SURGERY CENTER LLC (NPI# 1669612990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669612990 |
| Entity Type | Organization |
| Organization Name | TRI-STATE SURGERY CENTER LLC |
| Practice Address |
3 Winslow Pl 1st Floor Paramus NJ 07652-2709 |
| Practice Telephone | 2015461890 |
| Practice Fax Number | 2015461893 |
| Mailing Telephone | 2015461890 |
| Mailing Fax Number | 2015461893 |
| Enumeration Date | 2009-02-26 |
| Last Update Date | 2009-04-01 |
| Authorized Official Name | DR. MICHAEL GARTNER (OWNER) |
| Authorized Official Telephone | 2015461890 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
25MB06848500 | NJ | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427094945 | Tri-state Surgery Center LLC | Clinic/Center | 80 Landings Dr, Suite 101, Washington, PA 15301-9408 | 2006-06-22 |
| Street Address |
3 WINSLOW PL 1ST FLOOR |
| City | PARAMUS |
| State | NJ |
| Zip Code | 07652-2709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780619171 | Michael Constantin Gartner | Plastic Surgery | 3 Winslow Pl, Paramus, NJ 07652-2709 | 2006-07-12 |
| 1205983251 | Michael C Gartner Do PC | Specialist | 3 Winslow Pl, Paramus, NJ 07652-2709 | 2007-01-04 |
| 1538229398 | A Center for Advanced Surgery | Clinic/Center | 3 Winslow Pl, Paramus, NJ 07652-2709 | 2006-12-11 |
| 1992897185 | Marc Ohanian | Anesthesiology | 3 Winslow Pl, Paramus, NJ 07652-2709 | 2006-09-28 |
| 1689765471 | Ion V Pancu | Anesthesiology | 3 Winslow Pl, Paramus, NJ 07652-2709 | 2006-09-27 |
| 1205927787 | Traian Andrei Grigorescu | Anesthesiology | 3 Winslow Pl, Paramus, NJ 07652-2709 | 2006-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750997789 | Eunice Ramos | Nurse Practitioner | 300-a Forest Avenue, Paramus, NJ 07652 | 2020-09-15 |
| 1740801679 | Daniel Khodorkovsky | Dentist | 1615 Paramus Park, Paramus, NJ 07652 | 2020-05-01 |
| 1548806177 | Shira R Goldstein | Social Worker | 10 Valley Health Plaza, Paramus, NJ 07652 | 2019-11-19 |
| 1225598634 | Life Opportunities Unlimited A Non-profit Corp. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 157 Windsor Rd, Paramus, NJ 07652 | 2019-03-21 |
| 1639635766 | Inna Revutsky | Acupuncturist | Applied Kinesiology Center of Nj, 1 Sears Drive Suite 203, Paramus, NJ 07652 | 2019-02-13 |
| 1154899532 | Aleksandra Bozovic | Nurse Practitioner | 970 Linwood Avenue, Suite 102, Paramus, NJ 07652 | 2018-11-05 |
| 1689156044 | Christopher John Kailath | Behavioral Analyst | 10 Forest Ave Suite 214, Paramus, NJ 07652 | 2018-09-02 |
| 1841786696 | Molly Katherine Lenny | Optometrist | 501 Route 17 South, Paramus, NJ 07652 | 2018-07-05 |
| 1508356155 | Physical Therapy Now Holdings Nj LLC | Clinic/Center | 695 Route 17 South, Paramus, NJ 07652 | 2018-05-18 |
| 1821514373 | Simona Dlabal | Nurse Practitioner | 69 Prospect St, Paramus, NJ 07652 | 2017-08-16 |
| Find all providers in zip 07652 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780217034 | Modern Medicine Surgical Center, LLC | Clinic/Center | 633 From Rd, Paramus, NJ 07652-3514 | 2020-02-14 |
| 1922575935 | Matrix Surgical LLC | Clinic/Center | 140 Route 17 North Suite 105, Paramus, NJ 07652-2815 | 2018-10-28 |
| 1548766165 | Orthopaedic and Spine Institute of New Jesey | Clinic/Center | 30 W Century Rd Ste 300, Paramus, NJ 07652-1435 | 2018-04-03 |
| 1801087572 | Igor M Povzhitkov M D P C | Clinic/Center | 343 Ellen Pl, Paramus, NJ 07652-5506 | 2007-08-07 |
| 1437512514 | New Century Spine and Outpatient Surgical Institute, LLC | Clinic/Center | 37 W Century Rd, Suite 106, Paramus, NJ 07652-1466 | 2016-04-05 |
| 1245585256 | Tdg Surgery, LLC | Clinic/Center | 140 N Rte 17, Suite 105, Paramus, NJ 07652-2809 | 2012-07-16 |
| 1396009346 | Paramus Endoscopy LLC | Clinic/Center | 80 Eisenhower Dr, Paramus, NJ 07652-1430 | 2012-06-25 |
| 1528390499 | Bergen Surgical Center | Clinic/Center | 1 W Ridgewood Ave, Paramus, NJ 07652-2359 | 2010-02-03 |
| 1396951653 | Forest Healthcare Associates, P.C. | Clinic/Center | 277 Forest Avenue, Paramus, NJ 07652 | 2007-05-15 |
| 1922165901 | Center for Cosmetic and Reconstructive Surgery | Clinic/Center | 1 Sears Dr, Paramus, NJ 07652-3515 | 2007-01-02 |
| Find all providers in PARAMUS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.