Garden State Family Care Associates LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

GARDEN STATE FAMILY CARE ASSOCIATES LLC

Doing business as

Garden State Family Care

Practice address

511 S Orange Ave
South Orange, NJ 07079-2636

Phone

(973) 821-3640

Fax

(973) 821-3651

NPI assigned

Feb 5, 2008

Last updated

Feb 5, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Tatiana Mouravskaia, M.D.

Title

Member

Phone

(973) 821-3640

Specialties & licenses 1

Addresses

Other names 1

• Garden State Family Care Doing business as

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

{
    "created_epoch": "1202169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202169600000",
    "number": "1235317967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 S ORANGE AVE",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070792636",
            "telephone_number": "973-821-3640",
            "fax_number": "973-821-3651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 S ORANGE AVE",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070792636",
            "telephone_number": "973-821-3640",
            "fax_number": "973-821-3651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDEN STATE FAMILY CARE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-05",
        "last_updated": "2008-02-05",
        "status": "A",
        "authorized_official_last_name": "MOURAVSKAIA",
        "authorized_official_first_name": "TATIANA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "973-821-3640",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Garden State Family Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cynthia A Galeota, CNM
• Champaklal K Gandhi, M.D.
• Kinnari C Gandhi
• Sulakshana Gandhi, MD
• Garden State Eldercare
• Erica Geary
• Calvin George, APN-BC
• Simone Elizabeth Gill, DCES, MPH
• Sean M Gilligan, LCSW
• Brendan Gioello

• Internal Medicine Physician in South Orange, NJ
• Providers in South Orange, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2008; 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.