TANNER JOSEPH TRIDICO (NPI# 1376581215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376581215 |
| Entity Type | Individual |
| Full Name | TANNER JOSEPH TRIDICO |
| Credential | MD |
| Practice Address |
419 N Harrison St Princeton NJ 08540-3521 |
| Practice Telephone | 6099249300 |
| Practice Fax Number | 6094309481 |
| Mailing Telephone | 6099249300 |
| Mailing Fax Number | 6094309481 |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2017-04-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | MA08057800 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
419 N HARRISON ST |
| City | PRINCETON |
| State | NJ |
| Zip Code | 08540-3521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811993090 | Linda Marriner Ourach | Specialist | 419 N Harrison St, Princeton, NJ 08540-3521 | 2005-06-22 |
| 1093368854 | Tiffani Methvien | Optometrist | 419 N Harrison St, Princeton, NJ 08540-3521 | 2019-07-22 |
| 1508418294 | Jennifer L Hayden | Physician Assistant | 419 N Harrison St, Princeton, NJ 08540-3521 | 2019-07-12 |
| 1881149227 | Princeton Eye Group, Pa | Eyewear Supplier (Equipment, not the service) | 419 N Harrison St, Princeton, NJ 08540-3521 | 2016-08-15 |
| 1073992129 | Neha A Deshpande | Obstetrics & Gynecology | 419 N Harrison St, Princeton, NJ 08540-3521 | 2015-05-21 |
| 1861808313 | Sanya Naware | Internal Medicine | 419 N Harrison St, Princeton, NJ 08540-3594 | 2014-07-05 |
| 1265847644 | Sarah Onafowora | Obstetrics & Gynecology | 419 N Harrison St, Princeton, NJ 08540-3594 | 2014-06-24 |
| 1710390471 | April Seifert | Nurse Practitioner | 419 N Harrison St, Princeton, NJ 08540-3594 | 2014-06-10 |
| 1376851709 | Sarah Driscoll Kuchar | Ophthalmology | 419 N Harrison St, Princeton, NJ 08540-3521 | 2010-09-20 |
| 1437462926 | Anuj Kumar Malhotra | Internal Medicine | 419 N Harrison St, Princeton, NJ 08540-3521 | 2010-07-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003420613 | Samantha Beatriz Manzano | Pharmacist | 301 N Harrison Street, Princeton, NJ 08540 | 2020-09-01 |
| 1306485768 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 414 Freedom Blvd, Princeton, NJ 08540 | 2020-01-03 |
| 1124667589 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 415 Freedom Blvd, Princeton, NJ 08540 | 2020-01-03 |
| 1215576673 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 416 Freedom Blvd, Princeton, NJ 08540 | 2020-01-03 |
| 1508405929 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 411 Freedom Blvd, Princeton, NJ 08540 | 2020-01-02 |
| 1992369698 | Suzanne Haggerty | Social Worker | 716 Executive Drive, Princeton, NJ 08540 | 2019-04-28 |
| 1700349552 | Pdp Associates LLC | Social Worker | 3490 Us Highway 1, Building 16 Suite 112, Princeton, NJ 08540 | 2019-04-09 |
| 1245722438 | Kyle Bonner | Social Worker | 166 Bunn Dr Ste 105, Princeton, NJ 08540 | 2018-06-04 |
| 1942700125 | Lifetouch Behavioral Health, LLC | Community/Behavioral Health | 112 Commons Way, Building 1, Suite 112, Princeton, NJ 08540 | 2018-02-14 |
| 1912407271 | Princeton Psychiatry & Consulting, LLC | Psychiatry & Neurology | 601 Ewing St, Suite C-10, Princeton, NJ 08540 | 2018-02-13 |
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| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033681432 | Danielle Coppola | Internal Medicine | 2 Cleveland Ln, Princeton, NJ 08540-3050 | 2018-12-23 |
| 1174059885 | Oscar Alberto Perez Gutierrez | Internal Medicine | 3225 Sayre Dr, Princeton, NJ 08540-5868 | 2017-05-02 |
| 1982011995 | Prapti Praful Kuber | Internal Medicine | 2 Eagles Pass, Princeton, NJ 08540-8813 | 2014-07-22 |
| 1235487869 | Simon D. Murray, Md LLC | Internal Medicine | 727 State Rd Ste 2, Princeton, NJ 08540-1444 | 2012-08-29 |
| 1629332812 | Jae Young Lee | Internal Medicine | 419 N. Harrison St, Princeton, NJ 08540-4089 | 2012-07-02 |
| 1396016960 | Kent Stewart Allenby | Internal Medicine | 42 Christopher Dr, Princeton, NJ 08540-2321 | 2012-01-13 |
| 1073821898 | David R Barile Md LLC | Internal Medicine | 30 Boudinot St, Princeton, NJ 08540-3008 | 2010-09-14 |
| 1043538184 | Princeton Premier Medicine, LLC | Internal Medicine | 281 Witherspoon Street, Suite 220, Princeton, NJ 08542 | 2010-05-13 |
| 1972825057 | Tracey J. Moreno, Md, LLC | Internal Medicine | 601 Ewing St Ste C13, Princeton, NJ 08540-2758 | 2010-02-17 |
| 1487984803 | Constance Monroe Winslow | Internal Medicine | 283 Mount Lucas Rd, Princeton, NJ 08540-2714 | 2010-01-07 |
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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.