Garden State Pediactrics LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

25MB07383700 Issued in NJ

Legal business name

GARDEN STATE PEDIACTRICS LLC

Practice address

217 Old Hook Rd
Suite 3C Garden State Pediatrics LLC
Westwood, NJ 07675

Phone

(201) 263-1477

Fax

(201) 263-0048

NPI assigned

Sep 6, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jami Beth Scanlon, DO

Title

Physician Owner

Phone

(201) 263-1477

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Dolores C Dee Michelle Buli, MD

  • Pediatrics Physician
  • Westwood, NJ
  • NPI 1497858468
  NPD (past)

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407959570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 OLD HOOK RD",
            "address_2": "SUITE 3C GARDEN STATE PEDIATRICS",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "07675",
            "telephone_number": "201-263-1477",
            "fax_number": "201-263-0048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 OLD HOOK RD",
            "address_2": "SUITE 3C GARDEN STATE PEDIATRICS LLC",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "07675",
            "telephone_number": "201-263-1477",
            "fax_number": "201-263-0048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDEN STATE PEDIACTRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCANLON",
        "authorized_official_first_name": "JAMI",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "201-263-1477",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MB07383700",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA06742400",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harry A. Fried, M.D.
• Sarah Friedland, LPC, ACS, DRCC
• Toby Meyers Friedman, LCSW
• Paul W Galitsis, DMD
• John Garbarini, LIC ACUP
• Garden State Speech Therapy
• Richard J Garden, MD
• Douglas Brian Gates, D.C.
• Stephanie Marie Gates, CHIROPRACTOR
• Kyle Gault, AGACNP-BC

• Pediatrics Physician in Westwood, NJ
• Providers in Westwood, NJ by specialty
• Pediatrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.