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CARE STATION MEDICAL GROUP PA NPI 1447445234


NPI Information

NPI: 1447445234
Provider Name: CARE STATION MEDICAL GROUP, PA
Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 31D0876565

Address:
328 W SAINT GEORGES AVE
LINDEN, NJ
ZIP 07036
Phone: (908) 925-2273
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CARE STATION MEDICAL GROUP, PA is a general practice in Linden, NJ. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee CARE STATION MEDICAL GROUP, PA NPI is 1447445234. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

328 W SAINT GEORGES AVE
LINDEN, NJ
ZIP 07036-638
Phone: (908) 925-2273
Fax: (908) 925-2235

The provider's authorized official is Miranda Jeanne Agosto .
The authorized official title is Billing Manager and has the following contact phone number (908) 925-7519.

The CLIA number assigned to this NPI record is 31D0876565 - independent with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 9/14/2007 and was last updated on 2/17/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085U0001XRadiologyDiagnostic UltrasoundNo
2208D00000XGeneral PracticeYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1007845MEDICARE PINNEW JERSEY
26369960003MEDICARE NSC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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