TANNER JOSEPH TRIDICO (MD) – Internal Medicine Physician, NPI 1376581215

TANNER JOSEPH TRIDICO (MD) is a healthcare provider. based in Princeton, New Jersey. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. MA08057800 (NJ). The NPI Number for TANNER JOSEPH TRIDICO (MD) is 1376581215

Main info

Male
Sole Proprietor
23 Years Of Experience
Accepts Medicare Assignment
Name
TANNER JOSEPH TRIDICO (MD)
NPI
1376581215
Phone
(609) 924-9300
Address
419 N HARRISON ST
Enumeration Date
3 June 2006
Last Update Date
4 April 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
60992493003301
Graduation Year
2003 (23 years ago)
PAC ID
7315950532
Group Practice PAC ID
6406835305
Professional Enrollment ID
I20060711000017
Address ID
NJ088316816MO2XXXXWAYX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

6,893 INTERNAL MEDICINE in NJ

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Provider Addresses for TANNER JOSEPH TRIDICO (MD)

  • 419, North Harrison Street, North Princeton, Princeton, Mercer County, New Jersey, 08540, United States

    PRINCETON, NJ 085403521

    Phone: (609) 924-9300

    Fax: (609) 430-9481

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-07-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060711000017IInternal MedicineNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J0897Injection, denosumab, 1 mg3,24031$0
99214Established patient office or other outpatient visit, 30-39 minutes1,007528$0
36415Insertion of needle into vein for collection of blood sample641410$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit525525$0
80053Blood test, comprehensive group of blood chemicals429311$0
View full utilization report →

Insurance plans in this area (ZIP 08540)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6406835305View full group profile
NameSpecialtyState
-NJ
Cardiovascular Disease (Cardiology), Nuclear MedicineNJ
Internal MedicineNJ
Cardiovascular Disease (Cardiology)NJ
Internal MedicineNJ
-NJ
R H E U M A T O L O G YNJ
Sleep Medicine, Pulmonary DiseaseNJ
Internal MedicineNY
Internal Medicine, RheumatologyNJ

Reviews

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Frequently asked questions

Is TANNER JOSEPH TRIDICO (MD) listed with a National Provider Identifier?
Yes — TANNER JOSEPH TRIDICO (MD) has NPI 1376581215 on file in the registry.
Is there an active status for TANNER JOSEPH TRIDICO (MD)?
For scheduling context, TANNER JOSEPH TRIDICO (MD) is shown as active in the registry.
How would a patient describe TANNER JOSEPH TRIDICO (MD)'s focus?
For TANNER JOSEPH TRIDICO (MD), the primary taxonomy reads as Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Is TANNER JOSEPH TRIDICO (MD) located near Princeton?
TANNER JOSEPH TRIDICO (MD) currently maps to Princeton, New Jersey in this extract.
Does TANNER JOSEPH TRIDICO (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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