Garden State Medical Assoc P a

Primary specialty

Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X

Legal business name

GARDEN STATE MEDICAL ASSOC P A

Practice address

100 Brick Rd
Suite 209
Marlton, NJ 08053-2146

Phone

(856) 983-2848

Fax

(856) 985-7645

NPI assigned

Jul 8, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jesse Vito Lomonaco, D.O.

Title

Vice President

Phone

(856) 983-2848

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Nishith M Gami, MD

  • Internal Medicine Physician
  • Moorestown, NJ
  • NPI 1295786440
  NPD (past)
• Rakesh Malhotra, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Philadelphia, PA
  • NPI 1558302521
  NPD (past)

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1215960752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BRICK RD",
            "address_2": "SUITE 209",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080532146",
            "telephone_number": "856-983-2848",
            "fax_number": "856-985-7645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BRICK RD",
            "address_2": "SUITE 209",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080532146",
            "telephone_number": "856-983-2848",
            "fax_number": "856-985-7645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDEN STATE MEDICAL ASSOC P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LOMONACO",
        "authorized_official_first_name": "JESSE",
        "authorized_official_middle_name": "VITO",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "856-983-2848",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2623307",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marianne Garcia
• Marianne Catherine Garcynski, PT
• Garden Dental LLC
• Garden State Allergy and Asthma Center PC
• Garden State Behavioar Health Services South LLC
• Garden State Pulmonary Associates
• Anna Lauren Gardner, OTR/L
• Steven Jay Garin, DMD
• Teresa M Garvey, MS RD LDN
• Gastroenterology Associates PA

• Neuromusculoskeletal Medicine & OMM Physician in Marlton, NJ
• Providers in Marlton, NJ by specialty
• Neuromusculoskeletal Medicine & OMM Physician in New Jersey

• 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.