MEDICARE: TRI AMERICA MEDICINE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207RA0201X	Allergy & Immunology (Internal Medicine) Physician
2	208000000X	Pediatrics Physician
3	208D00000X	General Practice Physician
4	207R00000X	Internal Medicine Physician

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	783075	OTHER	NJ	MEDICARE

General Provider Information

NPI Number	:	1265141444
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRI AMERICA MEDICINE

Provider Business Mailing Address
First Line	:	2185 LEMOINE AVE UNIT 1H
Second Line	:
City	:	FORT LEE
State	:	NJ
Zip	:	07024-6030
Country	:	US
Telephone Number	:	844-755-8102
Fax Number	:

Provider Business Practice Location Address
First Line	:	2185 LEMOINE AVE UNIT 1H
Second Line	:
City	:	FORT LEE
State	:	NJ
Zip	:	07024-6030
Country	:	US
Telephone Number	:	844-755-8102
Fax Number	:

Authorized Official
Title or Position	:	AUTHORIZED OFFICIAL
Name	:	TRACY LARUSSO
Credential	:
Telephone Number	:	844-755-8102

Provider Enumeration Date	:	11/16/2022
Last Update Date	:	03/17/2026

Similar Medicare Providers

1417612250 — TRI AMERICA TMSKETA
Practice Location Address:

2185 LEMOINE AVE UNIT 1H
FORT LEE, NJ
07024-6030

Practice Phone: 888-701-6472
Practice Fax:

1538013610 — OXANA DANYSHEVA APN
Practice Location Address:

2185 LEMOINE AVE STE 1H
FORT LEE, NJ
07024-6030

Practice Phone: 877-959-8180
Practice Fax:

1750049284 — TRI AMERICA RECOVERY
Practice Location Address:

2185 LEMOINE AVE UNIT 1H
FORT LEE, NJ
07024-6030

Practice Phone: 877-427-8180
Practice Fax:

1487112801 — TRI AMERICA HEALTH & WELLNESS
Practice Location Address:

2185 LEMOINE AVE UNIT 1G
FORT LEE, NJ
07024-6030

Practice Phone: 877-959-8180
Practice Fax:

1942968649 — TRI AMERICA BEHAVIORAL HEALTH
Practice Location Address:

2185 LEMOINE AVE UNIT 1H
FORT LEE, NJ
07024-6030

Practice Phone: 877-959-8180
Practice Fax:

1952631715 — DR. CHRISTOPHER RICHARDS MD
Practice Location Address:

2185 LEMOINE AVE UNIT 1C
FORT LEE, NJ
07024-6030

Practice Phone: 833-407-0830
Practice Fax:

Directions to “TRI AMERICA MEDICINE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.