Healthcare Provider Details

I. General information

NPI: 1346808045
Provider Name (Legal Business Name): TRI-STATE SPECIALISTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2019
Last Update Date: 04/20/2025
Certification Date: 04/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

116 S EUCLID AVE STE 1
WESTFIELD NJ
07090-2187
US

IV. Provider business mailing address

116 S EUCLID AVE STE 1
WESTFIELD NJ
07090-2187
US

V. Phone/Fax

Practice location:
  • Phone: 908-588-2311
  • Fax: 908-588-2319
Mailing address:
  • Phone: 908-588-2311
  • Fax: 908-588-2319

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RS0010X
TaxonomySports Medicine (Internal Medicine) Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. VINAY CHOPRA
Title or Position: OWNER
Credential: MD
Phone: 908-588-2311