GARDEN STATE PHYSICIANS NPI 1851601330

NPI Information

  • NPI: 1851601330
  • Provider Name: GARDEN STATE PHYSICIANS
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Organization
  • CLIA Number: 31D2014358
  • Address: 1002 AMBOY AVE.
    EDISON, NJ
    ZIP 08837
  • Phone: (732) 274-1274

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NPI Details

GARDEN STATE PHYSICIANS is an internal medicine in Edison, NJ. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. GARDEN STATE PHYSICIANS NPI is 1851601330. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1002 AMBOY AVE.
EDISON, NJ
ZIP 08837
Phone: (732) 274-1274
Fax: (732) 355-0321

The provider's authorized official is Sonia Deora .
The authorized official title is Physician/owner and has the following contact phone number (732) 274-1274.

The CLIA number assigned to this NPI record is 31D2014358 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/18/2010 and was last updated on 4/30/2013.

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
1207Q00000XFamily Medicine25MB06893200NEW JERSEYNo
2207R00000XInternal Medicine25MA06750500NEW JERSEYYes

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
10189057MEDICAIDNEW 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: 3/30/2025

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