GARDEN STATE MEDICINE PC NPI 1588112163

NPI Information

NPI: 1588112163
Provider Name: GARDEN STATE MEDICINE PC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 31D2102614

Address:
1594 ROUTE 9 STE 6
TOMS RIVER, NJ
ZIP 08755
Phone: (732) 349-8888
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GARDEN STATE MEDICINE PC is a primary care clinic center in Toms River, NJ. GARDEN STATE MEDICINE PC NPI is 1588112163. The provider is registered as an organization entity type.

The provider's business location address is:

1594 ROUTE 9 STE 6
TOMS RIVER, NJ
ZIP 08755-280
Phone: (732) 349-8888

The provider's authorized official is Sakshi Pawa .
The authorized official title is Physician and has the following contact phone number (732) 861-6877.

The CLIA number assigned to this NPI record is 31D2102614 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/13/2016 and was last updated on 9/13/2016.

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
1	261QP2300X	Clinic/Center	Primary Care	25MA08632000	NEW JERSEY	Yes

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: 4/28/2024

NPI Synchronization or Removal

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