Garden State Medical Multi Specialty Group PA

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

Organization subpart

No

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

Authorized official

Name

Rakesh Sahni, MD

Title

Owner

Phone

(732) 396-9500

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alina Jimenez, P.A.

  • Medical Physician Assistant
  • Perth Amboy, NJ
  • NPI 1255367587
  NPD (past)

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1189107",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Garabo Chiropractic Health Center, PC
• James Garabo, D.C.
• Rebecca Jean Garay
• Femy Garcia, LSW
• Garden State Dental Design Inc
• Garden State Psychological Associates, LLC
• Gastrointestinal Medical Experts, LLC
• Stephanie Gay
• Michael Genereux, D.O.
• Alin George, DPT

• Cardiovascular Disease Physician in Clark, NJ
• Providers in Clark, NJ by specialty
• Cardiovascular Disease Physician in New Jersey

• 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.