Care Station Medical Group, PA

Key facts

NPI: 1184944902
Entity type: Organization (NPI type 2)
Primary specialty: General Practice Physician 208D00000X
Legal business name: CARE STATION MEDICAL GROUP, PA
Practice address: 210 Meadowlands Pkwy
Secaucus, NJ 07094-2311
Phone: (201) 348-3636
Fax: (201) 583-0713
NPI assigned: Jun 3, 2010
Organization subpart: No

Authorized official

Name: Miranda J Agosto
Title: Billing Manager
Phone: (908) 925-7519

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Care Station Medical Group, PA General Practice Physician · Linden, NJ · NPI 1447445234

NPD member Member Of

National Provider Directory

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
General Practice Physician Group: 193200000X MULTI-SPECIALTY GROUP	208D00000X			Yes

Addresses

Primary practice location

210 Meadowlands Pkwy
Secaucus, NJ 07094-2311

Mailing address

PO Box 352
Linden, NJ 07036-0352
Phone (908) 925-7519

Other names

Care Station Medical Group Former legal business name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 30, 2017.

{
    "created_epoch": "1275523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490832000000",
    "number": "1184944902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 352",
            "city": "LINDEN",
            "state": "NJ",
            "postal_code": "070360352",
            "telephone_number": "908-925-7519",
            "fax_number": "908-925-2842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 MEADOWLANDS PKWY",
            "city": "SECAUCUS",
            "state": "NJ",
            "postal_code": "070942311",
            "telephone_number": "201-348-3636",
            "fax_number": "201-583-0713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE STATION MEDICAL GROUP, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-03",
        "last_updated": "2017-03-30",
        "status": "A",
        "authorized_official_last_name": "AGOSTO",
        "authorized_official_first_name": "MIRANDA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "908-925-7519"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Care Station Medical Group",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Secaucus, NJ

All providers in Secaucus, NJ · General Practice Physician in New Jersey

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 30, 2017. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.