Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Tri State Health and Wellness Medical Care Center PC

General Practice Physician in Fair Lawn, NJ · enumerated 2013 · authorized official Aleksander Martirosov, Medical Directro.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1154661593

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Registry record

Entity type Organization (Type 2)

Legal business name Tri State Health and Wellness Medical Care Center PC

Practice address 31-00 Broadway 1st Floor, Fair Lawn, NJ, 07410

Phone (201) 741-5891

Fax (201) 791-7337

Enumeration date Feb 21, 2013

Last updated in NPPES Feb 21, 2013

Taxonomy & classification

207KA0200X Allergy Physician Allopathic & Osteopathic Physicians · License 25MB06860100 (NJ) Secondary

207QA0401X Addiction Medicine (Family Medicine) Physician Allopathic & Osteopathic Physicians · License 25MB06860100 (NJ) Secondary

207QA0505X Adult Medicine Physician Allopathic & Osteopathic Physicians · License 25MB06860100 (NJ) Secondary

207RA0000X Adolescent Medicine (Internal Medicine) Physician Allopathic & Osteopathic Physicians · License 25MB06860100 (NJ) Secondary

207RA0401X Addiction Medicine (Internal Medicine) Physician Allopathic & Osteopathic Physicians · License 25MB06860100 (NJ) Secondary

207RC0000X Cardiovascular Disease Physician Allopathic & Osteopathic Physicians · License 25MB06860100 (NJ) Secondary

207RE0101X Endocrinology, Diabetes & Metabolism Physician Allopathic & Osteopathic Physicians · License 25MB06860100 (NJ) Secondary

207RI0011X Interventional Cardiology Physician Allopathic & Osteopathic Physicians · License 25MB06860100 (NJ) Secondary

207RS0010X Sports Medicine (Internal Medicine) Physician Allopathic & Osteopathic Physicians · License 25MB06860100 (NJ) Secondary

208D00000X General Practice Physician Allopathic & Osteopathic Physicians · License 25MB06860100 (NJ) Primary

Authorized official

Name Aleksander Martirosov

Title Medical Directro

Phone (201) 791-7771

Other identifiers

Identifier	Type	State	Issuer
7912404	Medicaid	NJ	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2013-02-21. Verify at npiregistry.cms.hhs.gov.

Where is Tri State Health and Wellness Medical Care Center PC located?

The practice location on file with NPPES is in Fair Lawn, NJ.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-02-21.