NPIMap

Organization Active NPI

Guardian Health Partners Inc.

  • Internal Medicine Physician
  • Marmora, NJ
National Provider Identifier
1124830658
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
GUARDIAN HEALTH PARTNERS INC.
Practice address
120 Tuckahoe Rd Unit 31
Marmora, NJ 08223-9903
Phone
(732) 232-7840
NPI assigned
Jan 22, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Authorized official

Name
Samir ShaikhNPI 1811159593
Title
Manager
Phone
(732) 232-7840

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

120 Tuckahoe Rd Unit 31
Marmora, NJ 08223-9903

Mailing address

120 Tuckahoe Rd Unit 31
Marmora, NJ 08223-9903
Phone (732) 232-7840

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250310002396 NJ Part B Supplier - Clinic/Group Practice 1153842950 Receives reassigned benefits from 9 practitioners
Practice locations: Marmora, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1737504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737504000000",
    "number": "1124830658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 TUCKAHOE RD UNIT 31",
            "city": "MARMORA",
            "state": "NJ",
            "postal_code": "082239903",
            "telephone_number": "732-232-7840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 TUCKAHOE RD UNIT 31",
            "city": "MARMORA",
            "state": "NJ",
            "postal_code": "082239903",
            "telephone_number": "732-232-7840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN HEALTH PARTNERS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-22",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A",
        "authorized_official_last_name": "SHAIKH",
        "authorized_official_first_name": "SAMIR",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "732-232-7840"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marmora, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.