NPIMap

Organization Active NPI

Care Station Medical Group, PA

  • General Practice Physician
  • Linden, NJ
National Provider Identifier
1447445234
Registry record updated Feb 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
CARE STATION MEDICAL GROUP, PA
Practice address
328 W Saint Georges Ave
Linden, NJ 07036-5638
Phone
(908) 925-2273
Fax
(908) 925-2235
NPI assigned
Sep 14, 2007
Last updated
Feb 17, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2017

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

Authorized official

Name
Miranda Jeanne Agosto
Title
Billing Manager
Phone
(908) 925-7519

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Ultrasound Physician 2085U0001X NU
General Practice Physician 208D00000X NU Primary

Addresses

Primary practice location

328 W Saint Georges Ave
Linden, NJ 07036-5638

Mailing address

PO Box 352
Linden, NJ 07036-0352
Phone (908) 925-7519

National Provider Directory

National Provider Directory
Tax ID family
HM Health Services SE28 organizations share this tax ID, including this one

Other organizations with this tax ID 27

Organizations that report the same tax identification number in the National Provider Directory.

View all 27

Locations

1044 Belmont Ave
#6829
Youngstown, OH 44504
Phone (330) 480-2080

NPI Registry JSON

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

{
    "created_epoch": "1189728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487289600000",
    "number": "1447445234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 352",
            "city": "LINDEN",
            "state": "NJ",
            "postal_code": "070360352",
            "telephone_number": "908-925-7519",
            "fax_number": "908-925-2842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 W SAINT GEORGES AVE",
            "city": "LINDEN",
            "state": "NJ",
            "postal_code": "070365638",
            "telephone_number": "908-925-2273",
            "fax_number": "908-925-2235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE STATION MEDICAL GROUP, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-14",
        "last_updated": "2017-02-17",
        "status": "A",
        "authorized_official_last_name": "AGOSTO",
        "authorized_official_first_name": "MIRANDA",
        "authorized_official_middle_name": "JEANNE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "908-925-7519"
    },
    "taxonomies": [
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Linden, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2017; 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.