Garden State Physical Therapy PC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT40QA00804200 Issued in NJ

Legal business name

GARDEN STATE PHYSICAL THERAPY PC

Practice address

44 Ridge Rd
North Arlington, NJ 07031-6350

Phone

(201) 998-6300

Fax

(201) 998-6344

NPI assigned

May 13, 2007

Organization subpart

No

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

Authorized official

Name

Alexander Garduque, RPT

Title

Owner Director of Rehab Services

Phone

(201) 998-6300

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1179014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191974400000",
    "number": "1568677516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 RIDGE RD",
            "city": "NORTH ARLINGTON",
            "state": "NJ",
            "postal_code": "070316350",
            "telephone_number": "201-998-6300",
            "fax_number": "201-998-6344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 RIDGE RD",
            "city": "NORTH ARLINGTON",
            "state": "NJ",
            "postal_code": "070316350",
            "telephone_number": "201-998-6300",
            "fax_number": "201-998-6344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDEN STATE PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-13",
        "last_updated": "2007-10-10",
        "status": "A",
        "authorized_official_last_name": "GARDUQUE",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "OWNER DIRECTOR OF REHAB SERVICES",
        "authorized_official_telephone_number": "201-998-6300",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NJ",
            "license": "PT40QA00804200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frank Augustus Evans Jr., M.D.
• Michael Farina
• John R Favetta, MD
• Danielle M Fries, APN
• Jayalakshmi Ganapathy, MD
• Sheremet Gashi, MD
• Josefina Gavieres, RN-BC
• Natalie Geary
• Ronald Emanuel Gennace, M.D.
• Ronald J Gironda, PH.D.

• Physical Therapy Clinic/Center in North Arlington, NJ
• Providers in North Arlington, NJ by specialty
• Physical Therapy Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; 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.