Active NPI
Garden State Neuro Stimulation LLC
- Interventional Pain Medicine Physician
- Poughkeepsie, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- 2590151
- Legal business name
- GARDEN STATE NEURO STIMULATION LLC
- Practice address
- 3657 Albany Post Rd
Poughkeepsie, NY 12601-1177 - Phone
- (212) 430-0312
- Fax
- (908) 934-9298
- NPI assigned
- May 7, 2012
- Last updated
- May 7, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sukdeb Datta, MD
- Title
- President
- Phone
- (615) 479-4692
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | 2590151 | NY | Primary |
Addresses
Primary practice location
3657 Albany Post Rd
Poughkeepsie, NY 12601-1177
Mailing address
47 Woodland Ave
Apt 301
Summit, NJ 07901-2175
Phone (615) 479-4692
National Provider Directory
National Provider Directory- Tax ID family
- Garden State Neuro
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Garden State Neuro
- Pain Medicine (Anesthesiology) Physician
- Pompton Lakes, NJ
- NPI 1598063588
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Interventional Pain Medicine Physician
- New York, NY
- NPI 1801902788
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336348800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1336348800000",
"number": "1457610867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47 WOODLAND AVE",
"address_2": "APT 301",
"city": "SUMMIT",
"state": "NJ",
"postal_code": "079012175",
"telephone_number": "615-479-4692",
"fax_number": "908-934-9298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3657 ALBANY POST RD",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126011177",
"telephone_number": "212-430-0312",
"fax_number": "908-934-9298"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GARDEN STATE NEURO STIMULATION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-05-07",
"last_updated": "2012-05-07",
"status": "A",
"authorized_official_last_name": "DATTA",
"authorized_official_first_name": "SUKDEB",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "615-479-4692",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "NY",
"license": "2590151",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Poughkeepsie, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.