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Tristate Domestic,llc — NPI 1164620803, East Orange, NJ | NPI Central

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NPI 1164620803

OrganizationActive

Tristate Domestic,llc

NPI 1164620803 · Private Vehicle · East Orange, NJ

Provider details

NPI number: 1164620803
Entity type: Organization
Primary specialty: Private VehicleTransportation Services
Organization subpart: No
Authorized official: Dominick Iacoviello, President(973) 678-3030

Specialties & taxonomies

Private VehiclePrimary347C00000X
Transportation Services
Home Health Agency251E00000X
Agencies
Non-emergency Medical Transport (VAN)343900000X
Transportation Services

Practice location

12 Everett St

East Orange, NJ 07017-1740

Phone: (973) 678-3030

Approximate (ZIP-level) locationGet directions

More NJ providers

Mailing address

12 Everett St

East Orange, NJ 07017-1740

Registry dates

Enumerated: 2007-07-04
Last updated: 2025-09-11

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.