Garden State Cardiology

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA04851100 Issued in NJ

Legal business name

GARDEN STATE CARDIOLOGY

Practice address

1124 E Ridgewood Ave
Suite 202
Ridgewood, NJ 07450-3915

Phone

(201) 689-0091

Fax

(201) 689-9404

NPI assigned

Jan 26, 2007

Organization subpart

No

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

Authorized official

Name

Donna Dwyer

Title

Billing

Phone

(201) 689-0091

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219363200000",
    "number": "1316093719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 W RIDGEWOOD AVE",
            "address_2": "SUITE 103",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076522359",
            "telephone_number": "201-689-0091",
            "fax_number": "201-689-9404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 E RIDGEWOOD AVE",
            "address_2": "SUITE 202",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503915",
            "telephone_number": "201-689-0091",
            "fax_number": "201-689-9404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDEN STATE CARDIOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2008-08-22",
        "status": "A",
        "authorized_official_last_name": "DWYER",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "201-689-0091"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA04851100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0529206",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Loren Galese, M.ED
• Pamela Ann Gallagher, L.C.S.W.
• Rosanne Galle, RN,NP
• Deborah A. Gallucio, M.S., R.D.
• Stephen Charles Garbarini, PSY.D.
• Robin Shawn Gardner, CDC, CPC
• Robert F Garofano, L.P.C.
• Gastrointestinal Associates PA
• Megan Gauthier
• Beth Wendi Geisler

• Specialist in Ridgewood, NJ
• Providers in Ridgewood, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.