Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tri State Health and Wellness Medical Care Center PC

Organization Allergy Physician · NPI 1154661593

Tri State Health and Wellness Medical Care Center PC is an Allergy Physician in Fair Lawn, New Jersey. Licensed in New Jersey. Registered with an NPI since 2013.

Licensed in
NJ
In the registry since
2013
Specialties on file
10
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

31-00 Broadway 1st Fl
Fair Lawn, NJ 07410
Phone: (201) 741-5891
Fax: (201) 791-7337
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 25MB06860100 (NJ)
Allergy Physician Taxonomy 207KA0200X · Licence 25MB06860100 (NJ)
Addiction Medicine (Family Medicine) Physician Taxonomy 207QA0401X · Licence 25MB06860100 (NJ)
Adult Medicine Physician Taxonomy 207QA0505X · Licence 25MB06860100 (NJ)
Adolescent Medicine (Internal Medicine) Physician Taxonomy 207RA0000X · Licence 25MB06860100 (NJ)
Addiction Medicine (Internal Medicine) Physician Taxonomy 207RA0401X · Licence 25MB06860100 (NJ)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 25MB06860100 (NJ)
Endocrinology, Diabetes & Metabolism Physician Taxonomy 207RE0101X · Licence 25MB06860100 (NJ)
Interventional Cardiology Physician Taxonomy 207RI0011X · Licence 25MB06860100 (NJ)
Sports Medicine (Internal Medicine) Physician Taxonomy 207RS0010X · Licence 25MB06860100 (NJ)

Record details

NPI number1154661593
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Aleksander Martirosov — Medical Directro · (201) 791-7771
NPI enumeratedFebruary 21, 2013
Last updated in NPPESFebruary 21, 2013
Mailing address31-00 Broadway, Fair Lawn, NJ 07410-3963

Other providers in Fair Lawn