Provider Demographics
NPI:1730208885
Name:TRI-COUNTY RADIOLOGY P.A.
Entity type:Organization
Organization Name:TRI-COUNTY RADIOLOGY P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:E
Authorized Official - Last Name:GUIZIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-473-8585
Mailing Address - Street 1:PO BOX 506
Mailing Address - Street 2:
Mailing Address - City:PARAMUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07653-0506
Mailing Address - Country:US
Mailing Address - Phone:201-599-6556
Mailing Address - Fax:
Practice Address - Street 1:521 VAN HOUTEN AVE
Practice Address - Street 2:
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07013-2190
Practice Address - Country:US
Practice Address - Phone:973-473-8585
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
Not Answered207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty
Not Answered2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic UltrasoundGroup - Multi-Specialty
Not Answered2279P1004XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredPulmonary DiagnosticsGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1255324406OtherPAUL VERONA MD NPI#
NJ19269OtherUNIVERSITY HEALTHPLAN
NJ0568836OtherAETNA
NJ1275665960OtherANDREW LASSER MD NPI#
NJ7096003Medicaid
NJ1679671861OtherSTEPHEN TODER MD NPI#
NJ2698920OtherGHI
NJS4G462OtherEMPIRE BLUECROSS BLUE
NH1770583361OtherSHEELA SONALKAR MD NPI#
NJ1K9903OtherHEALTHNET
NJA369124OtherOXFORD
NJ0568836OtherAETNA
NJ1275665960OtherANDREW LASSER MD NPI#
NJ=========OtherHORIZON BLUECROSS BLUE
NJ7096003Medicaid
NJ1275665960OtherANDREW LASSER MD NPI#
NJ894046Medicare ID - Type Unspecified