Tri State Health and Wellness Medical Care Center PC
NPI 1154661593ActiveOrganization· General Practice· Fair Lawn, NJ
General Practice in Fair Lawn, New Jersey, registered in NPPES in February 2013. The authorized official on file is Aleksander Martirosov, D.O., Medical Directro.
Overview
| NPI | 1154661593 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 21, 2013 |
| Last updated in NPPES | Feb 21, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | 25MB06860100 | NJ |
| Allergy & Immunology, Allergy | 207KA0200X | 25MB06860100 | NJ |
| Family Medicine, Addiction Medicine | 207QA0401X | 25MB06860100 | NJ |
| Family Medicine, Adult Medicine | 207QA0505X | 25MB06860100 | NJ |
| Internal Medicine, Adolescent Medicine | 207RA0000X | 25MB06860100 | NJ |
| Internal Medicine, Addiction Medicine | 207RA0401X | 25MB06860100 | NJ |
| Internal Medicine, Cardiovascular Disease | 207RC0000X | 25MB06860100 | NJ |
| Internal Medicine, Endocrinology, Diabetes & Metabolism | 207RE0101X | 25MB06860100 | NJ |
| Internal Medicine, Interventional Cardiology | 207RI0011X | 25MB06860100 | NJ |
| Internal Medicine, Sports Medicine | 207RS0010X | 25MB06860100 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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