Active NPI
Garden State Cardiovascular Specialists P.C
- Cardiovascular Disease Physician
- Elizabeth, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- GARDEN STATE CARDIOVASCULAR SPECIALISTS P.C
- Practice address
- 1150 Dickinson St
Elizabeth, NJ 07201-2210 - Phone
- (908) 354-8900
- Fax
- (908) 354-0007
- NPI assigned
- Jul 21, 2006
- Last updated
- Jun 19, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jasjit Walia
- Title
- MD
- Phone
- (908) 587-9300
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | Primary |
Addresses
Primary practice location
1150 Dickinson St
Elizabeth, NJ 07201-2210
Mailing address
520 N Wood Ave
Linden, NJ 07036-4147
Phone (908) 587-9300
Other practice location 1
635 Market St
Newark, NJ 07105-3618
Phone (973) 344-5454
Other practice location 2
520 N Wood Ave
Linden, NJ 07036-4147
Phone (908) 587-9300
Other practice location 3
550 Mount Prospect Ave
Newark, NJ 07104-1530
Phone (973) 482-4697
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8966605 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1 Ethel Rd
Ste 102C
Edison, NJ 08817
Phone (732) 287-6663
240 Williamson St
Ste 402
Elizabeth, NJ 07202
Phone (908) 354-8900
Practitioners & affiliated clinicians
Practitioners 35
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Newark, NJ
- NPI 1043276827
-
- Internal Medicine Physician
- Linden, NJ
- NPI 1396844148
-
- Cardiovascular Disease Physician
- Elizabeth, NJ
- NPI 1477573814
-
- Physician Assistant
- Elizabeth, NJ
- NPI 1972996833
-
- Nurse Practitioner
- Linden, NJ
- NPI 1972834703
-
- Adult Health Nurse Practitioner
- Newark, NJ
- NPI 1043669245
-
- Anesthesiology Physician
- Elizabeth, NJ
- NPI 1053608844
-
- Family Nurse Practitioner
- Linden, NJ
- NPI 1417591488
-
- Gastroenterology Physician
- Franklin Lakes, NJ
- NPI 1518967769
-
- Family Medicine Physician
- Newark, NJ
- NPI 1801053715
-
- Surgery Physician
- Garwood, NJ
- NPI 1740274612
-
- Sleep Medicine (Internal Medicine) Physician
- Newark, NJ
- NPI 1740635986
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1592524800000",
"number": "1225059660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 N WOOD AVE",
"city": "LINDEN",
"state": "NJ",
"postal_code": "070364147",
"telephone_number": "908-587-9300",
"fax_number": "908-587-1901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 DICKINSON ST",
"city": "ELIZABETH",
"state": "NJ",
"postal_code": "072012210",
"telephone_number": "908-354-8900",
"fax_number": "908-354-0007"
}
],
"practiceLocations": [
{
"address_1": "635 Market St",
"address_purpose": "LOCATION",
"city": "Newark",
"state": "NJ",
"postal_code": "071053618",
"country_code": "US",
"telephone_number": "973-344-5454",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "520 N Wood Ave",
"address_purpose": "LOCATION",
"city": "Linden",
"state": "NJ",
"postal_code": "070364147",
"country_code": "US",
"telephone_number": "908-587-9300",
"fax_number": "908-587-1901",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "550 Mount Prospect Ave",
"address_purpose": "LOCATION",
"city": "Newark",
"state": "NJ",
"postal_code": "071041530",
"country_code": "US",
"telephone_number": "973-482-4697",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "GARDEN STATE CARDIOVASCULAR SPECIALISTS P.C",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-21",
"last_updated": "2020-06-19",
"certification_date": "2020-06-19",
"status": "A",
"authorized_official_last_name": "WALIA",
"authorized_official_first_name": "JASJIT",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "908-587-9300"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8966605",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elizabeth, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2020; 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.