TRISTATE MEDICAL CARE PC – NPI #1972693315
Internal Medicine

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.

TRISTATE MEDICAL CARE PC is a provider located in BROOKLYN, NY. NPPES has assigned the NPI number 1972693315 to TRISTATE MEDICAL CARE PC on October 14, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease

The NPI profile was previously updated about 18 years ago on Jan 16, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for TRISTATE MEDICAL CARE PC below.

NPI Profile for
TRISTATE MEDICAL CARE PC

NPI Number
1972693315
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
TRISTATE MEDICAL CARE PC
Primary location
3615 AVE S
BROOKLYN, NY 11234
Phone: (718) 336-2110 Fax:
Mailing address
8200 21ST AVE
BROOKLYN, NY 11214
Phone: (718) 236-6644 Fax: (718) 236-9080
Organization Subpart
No
Authorized Official
SHASHIBALA SONI
MD FACP FACC
Phone: (718) 236-4444
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RC0000X
- Internal Medicine / Cardiovascular Disease (Primary)
NY 128754
261QP2300X
- Clinic/Center / Primary Care
NJ 25MA06036700
207R00000X
- Internal Medicine
NY 128754

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.