Garden State Neuro Stimulation LLC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

GARDEN STATE NEURO STIMULATION LLC

Doing business as

Garden State Neuro

Practice address

111 Wanaque Ave
Pompton Lakes, NJ 07442-2101

Phone

(214) 261-3602

NPI assigned

Mar 1, 2011

Last updated

Mar 1, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Chance McElhaney

Title

Manager

Phone

(214) 261-3602

Specialties & licenses 1

Addresses

Other names 1

• Garden State Neuro Doing business as

Tax ID family

Garden State Neuro2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Garden State Neuro Stimulation LLC

  • Interventional Pain Medicine Physician
  • Poughkeepsie, NY
  • NPI 1457610867
  NPD tax ID

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

{
    "created_epoch": "1298937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298937600000",
    "number": "1598063588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10740 N CENTRAL EXPY",
            "address_2": "SUITE 275",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752312161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 WANAQUE AVE",
            "city": "POMPTON LAKES",
            "state": "NJ",
            "postal_code": "074422101",
            "telephone_number": "214-261-3602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDEN STATE NEURO STIMULATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-01",
        "last_updated": "2011-03-01",
        "status": "A",
        "authorized_official_last_name": "MCELHANEY",
        "authorized_official_first_name": "CHANCE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "214-261-3602",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Garden State Neuro",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Barbara J Francavilla, LPC, LCADC
• Stephanie Valente Freitas
• Fuad a Ahmad MD PA
• Rosemarie Louise Gala, L.P.C.
• John Galvany, ATC
• Maria Gerasimova, RN
• Larisa K Gershman, MD
• Laurel A Giegerich
• Margaret Ann Gill, LPC,
• Joseph G Giuliano, DDS

• Pain Medicine (Anesthesiology) Physician in Pompton Lakes, NJ
• Providers in Pompton Lakes, NJ by specialty
• Pain Medicine (Anesthesiology) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2011; 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.