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GARDEN STATE HEALTHCARE ASSOCIATES LLC NPI 1700014545


NPI Information

NPI: 1700014545
Provider Name: GARDEN STATE HEALTHCARE ASSOCIATES, LLC
Classification: Emergency Medicine - 207P00000X
Entity Type: Organization
Address:
29 E 29TH ST
BAYONNE, NJ
ZIP 07002
Phone: (844) 242-7436
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GARDEN STATE HEALTHCARE ASSOCIATES, LLC is an emergency medicine in Bayonne, NJ. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. GARDEN STATE HEALTHCARE ASSOCIATES, LLC NPI is 1700014545. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

29 E 29TH ST
BAYONNE, NJ
ZIP 07002-654
Phone: (844) 242-7436
Fax: (201) 603-6677

The provider's authorized official is Mark Spektor .
The authorized official title is Sole Owner and has the following contact phone number (201) 858-7111.

The enumeration date for this NPI number is 7/1/2009 and was last updated on 1/30/2024.


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
1207RC0000XInternal MedicineCardiovascular DiseaseNo
2207ZP0105XPathologyClinical Pathology/Laboratory MedicineNo
32085B0100XRadiologyBody ImagingNo
4207P00000XEmergency MedicineYes

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
10240231MEDICAIDNEW JERSEY

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.