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

Tri State Medical Management

Organization Vascular & Interventional Radiology Physician · NPI 1033877717

Tri State Medical Management is a Vascular & Interventional Radiology Physician in Fort Lee, New Jersey. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2

Practice location Address checks out

1636 Parker Ave 3rd Fl
Fort Lee, NJ 07024
Phone: (973) 630-6666
Fax: (973) 692-1234
Show map & directions

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

Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X

Record details

NPI number1033877717
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Daniels — Partner · (732) 598-4226
NPI enumeratedNovember 30, 2021
Last updated in NPPESNovember 30, 2021
Certification dateNovember 30, 2021
Mailing address1636 Parker Ave, 3rd Floor, Fort Lee, NJ 07024