Organization Active NPI

Garden State Medical Multi Specialty Group PA

  • Cardiovascular Disease Physician
  • Clark, NJ
National Provider Identifier
1376531426
Registry record updated Aug 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
25MA03620200 Issued in NJ
Legal business name
GARDEN STATE MEDICAL MULTI SPECIALTY GROUP PA
Practice address
53 Westfield Ave
2ND Floor
Clark, NJ 07066-3262
Phone
(732) 396-9500
Fax
(732) 382-1377
NPI assigned
Oct 12, 2005
Last updated
Aug 24, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2009

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

Authorized official

Name
Rakesh Sahni, MDNPI 1265636526
Title
Owner
Phone
(732) 396-9500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X 25MA03620200 NJ Primary

Addresses

Primary practice location

53 Westfield Ave
2ND Floor
Clark, NJ 07066-3262

Mailing address

53 Westfield Ave # 59
2ND Floor
Clark, NJ 07066-3262
Phone (732) 396-9500

National Provider Directory

National Provider Directory

Locations

53 Westfield Ave
Ste 2
Clark, NJ 07066
Phone (732) 396-9500

86 New Brunswick Ave
Perth Amboy, NJ 08861
Phone (732) 826-1609

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251072000000",
    "number": "1376531426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 WESTFIELD AVE # 59",
            "address_2": "2ND FLOOR",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070663262",
            "telephone_number": "732-396-9500",
            "fax_number": "732-382-1377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 WESTFIELD AVE",
            "address_2": "2ND FLOOR",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070663262",
            "telephone_number": "732-396-9500",
            "fax_number": "732-382-1377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDEN STATE MEDICAL MULTI SPECIALTY GROUP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-12",
        "last_updated": "2009-08-24",
        "status": "A",
        "authorized_official_last_name": "SAHNI",
        "authorized_official_first_name": "RAKESH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-396-9500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA03620200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2009; 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.