Garden State Medical and Surgical Group, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

25MA05840700 Issued in NJ

Legal business name

GARDEN STATE MEDICAL AND SURGICAL GROUP, LLC

Practice address

1608 Lemoine Ave
Suite 201
Fort Lee, NJ 07024-5622

Phone

(201) 461-6666

Fax

(201) 461-7429

NPI assigned

Feb 18, 2011

Organization subpart

No

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

Authorized official

Name

Dr. James Lee, M.D.

Title

President

Phone

(201) 461-6666

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1297987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297987200000",
    "number": "1336446863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 LEMOINE AVE",
            "address_2": "SUITE 201",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070245622",
            "telephone_number": "201-461-6666",
            "fax_number": "201-461-7429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 LEMOINE AVE",
            "address_2": "SUITE 201",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070245622",
            "telephone_number": "201-461-6666",
            "fax_number": "201-461-7429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDEN STATE MEDICAL AND SURGICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-18",
        "last_updated": "2011-02-18",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-461-6666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA05840700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul M Gallina, LICENSED OPTICIAN
• Richard Justin Gallo, MD
• Scott Davie Ganz, D.M.D.
• Youran Gao, M.D.
• Garam Holistic Inc
• Garden State Rehabilitation Services ,LLC.
• Leora Garritano, LMSW
• Ernst C Gauderer, MD
• Ge Health Solutions Inc
• Gary Gecht, RPH

• Specialist in Fort Lee, NJ
• Providers in Fort Lee, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2011; 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.