TRISTATE MEDICAL CARE PC


Address: 3615 Ave S, Brooklyn, NY 11234
Phone: 7183362110

TRISTATE MEDICAL CARE PC (NPI# 1972693315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1972693315
Entity Type Organization
Organization Name TRISTATE MEDICAL CARE PC
Practice Address 3615 Ave S
Brooklyn
NY 11234
Mailing Address 8200 21st Ave
Brooklyn
NY 11214
Practice Telephone 7183362110
Mailing Telephone 7182366644
Mailing Fax Number 7182369080
Enumeration Date 2006-10-14
Last Update Date 2008-01-16
Authorized Official Name DR. SHASHIBALA SONI (MD FACP FACC)
Authorized Official Telephone 7182364444
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207R00000X Internal Medicine 128754 NY Allopathic & Osteopathic Physicians
N 261QP2300X Clinic/Center
Specialization: Primary Care
128754 NY Ambulatory Health Care Facilities
N 261QP2300X Clinic/Center
Specialization: Primary Care
25MA06036700 NJ Ambulatory Health Care Facilities
Y 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
128754 NY Allopathic & Osteopathic Physicians

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1053352468 Tristate Medical Care PC Physical Medicine & Rehabilitation 21 Grand Ave, Suite 505, Palisades Park, NJ 07650-1076 2006-06-09

Office Location

Street Address 3615 AVE S
City BROOKLYN
State NY
Zip Code 11234

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861000549 Vanessa Clouden Counselor 651 East 59th St, Brooklyn, NY 11234 2020-07-17
1467098871 Stephan Jean-claude Licensed Practical Nurse 853 Est 52nd St., Kings, NY 11234 2019-11-20
1356983167 Barbara Baptiste Family Medicine 4710 Flatlands Ave, Brooklyn, NY 11234 2019-10-14
1376199141 Sabrina Boutros Physician Assistant 1618 East 34th Street, Brooklyn, NY 11234 2019-08-16
1740846252 Angelie Dawn Banaybanay Flores Physical Therapist 3214 Kings Highway, Brooklyn, New York, NY 11234 2019-05-10
1891273033 Diana Haughton-bennett Nurse Practitioner 2067 E 60th St, Brooklyn, NY 11234 2018-07-31
1518450030 Eduard Galper Technician/Technologist 2062 E 36th St, Brooklyn, NY 11234 2018-06-09
1538658448 Vanessa Lee Hernandez Nurse Practitioner 3201 Kings Highway-emergency Room, Brooklyn, NY 11234 2018-05-07
1609377126 Keisha Batson Behavior Technician 1669 E 48th St, Brooklyn, NY 11234 2018-02-21
1598280323 Flex Rehab Physical Therapy PC Physical Therapist 1950 Coleman St, Brooklyn, NY 11234 2017-08-14
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Taxonomy Information

Taxonomy Code 207RC0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Cardiovascular Disease

Taxonomy Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1649767013 Complete Express Medical PC Internal Medicine 3047 Avenue U Ste 2, Brooklyn, NY 11229-5144 2018-04-20
1699287201 Heart & Rhythm Centers of Excellence, Inc Internal Medicine 1623 Flatbush Ave Ste 110, Brooklyn, NY 11210-3259 2017-11-05
1073962304 Feel Good Medical PC Internal Medicine 2965 Ocean Pkwy Ste 2b, Brooklyn, NY 11235-8048 2016-06-07
1871958140 Med Care Consultants Internal Medicine 4713 Church Ave, Brooklyn, NY 11203-3209 2015-12-30
1710366729 Nyc Diagnostic Medical P.C. Internal Medicine 622 Avenue X, Brooklyn, NY 11235-6120 2015-05-22
1952723017 Jeremiah M Gelles, Md PC Internal Medicine 508 78th St, Brooklyn, NY 11209-3706 2014-01-09
1265862486 Cardiovascular Wellness Medical Internal Medicine 2606 Haring St Fl 2, Brooklyn, NY 11235-1606 2013-11-25
1821437401 Pace Cardiology PC Internal Medicine 135 Ocean Pkwy Ste 1t, Brooklyn, NY 11218-2579 2013-06-18
1740522176 Cardiac Associates of New York Pllc Internal Medicine 372 Avenue U Ste 1b, Brooklyn, NY 11223-4052 2013-03-24
1831430495 Helping Hands Medical Services PC Internal Medicine 2422 Knapp St, Brooklyn, NY 11235-1006 2013-03-07
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Competitor

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City BROOKLYN
Zip Code 11234

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Dataset Information

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.

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