# TRI-STATE RADIOLOGY, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164474532
- **Authorized official:** ANDREW H. SHAER M.D. (CHAIRMAN)
- **Authorized official phone:** (215) 284-9505

## Contact information

- **Practice address:** 160 E MAIN ST, RADIOLOGY DEPARTMENT, PORT JERVIS, NY 12771-2253
- **Practice address phone:** (845) 858-7050
- **Mailing address:** 1001 BRIGGS RD, SUITE 210, MOUNT LAUREL, NJ 08054-4100
- **Mailing address phone:** (856) 231-4774

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085B0100X | Body Imaging Physician | — | NULL | — |
| 2085B0100X | Body Imaging Physician | — | — | — |
| 2085N0700X | Neuroradiology Physician | — | NULL | — |
| 2085N0700X | Neuroradiology Physician | — | — | — |
| 2085N0904X | Nuclear Radiology Physician | — | NULL | — |
| 2085N0904X | Nuclear Radiology Physician | — | — | — |
| 2085R0202X | Diagnostic Radiology Physician | — | NULL | — |
| 2085R0202X | Diagnostic Radiology Physician | — | — | — |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | NULL | — |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | — | — |
| 2085U0001X | Diagnostic Ultrasound Physician | — | NULL | Yes |
| 2085U0001X | Diagnostic Ultrasound Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/16/2006
- **Last updated:** 09/11/2025