Organization Active NPI

Garden State Rheumatology Associates LLC

  • Rheumatology Physician
  • Lakewood, NJ
National Provider Identifier
1073035309
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
Legal business name
GARDEN STATE RHEUMATOLOGY ASSOCIATES LLC
Practice address
101 Prospect St Ste 216
Lakewood, NJ 08701-5003
Phone
(732) 370-7717
Fax
(732) 370-6519
NPI assigned
Jul 7, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Shahzad Hussain, M.D
Title
Ceo
Phone
(732) 370-7717

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X Primary

Addresses

Primary practice location

101 Prospect St Ste 216
Lakewood, NJ 08701-5003

Mailing address

101 Prospect Street
Suite 216
Lakewood, NJ 08701
Phone (732) 370-7717

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1499385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1073035309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 PROSPECT STREET",
            "address_2": "SUITE 216",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "08701",
            "telephone_number": "732-370-7717",
            "fax_number": "732-370-6519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 PROSPECT ST STE 216",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015003",
            "telephone_number": "732-370-7717",
            "fax_number": "732-370-6519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDEN STATE RHEUMATOLOGY ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-07",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HUSSAIN",
        "authorized_official_first_name": "SHAHZAD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "732-370-7717",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.