Garden State Orthocare LLC

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

25MA09089400 Issued in NJ

Legal business name

GARDEN STATE ORTHOCARE LLC

Practice address

321 Essex St
Hackensack, NJ 07601-2066

Phone

(888) 721-6238

Fax

(888) 721-6238

NPI assigned

Oct 29, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Randall Victor Ehrlich, M.D.

Title

President

Phone

(888) 721-6238

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383004800000",
    "number": "1639507684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 BOULDER RIDGE RD",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105833150",
            "telephone_number": "917-886-5545",
            "fax_number": "718-795-9003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 ESSEX ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076012066",
            "telephone_number": "888-721-6238",
            "fax_number": "888-721-6238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDEN STATE ORTHOCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-29",
        "last_updated": "2013-10-29",
        "status": "A",
        "authorized_official_last_name": "EHRLICH",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "VICTOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "888-721-6238",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NJ",
            "license": "25MA09089400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Garcia
• Stephanie M Garcia, AU.D.
• Tatiana Garcia, LPC
• Garden State Dental P.C.
• Garden State Medical Transportation, Inc
• Garden State Women'S Center
• Cesar Valente Garduque Jr., OTR
• Alli Madison Garfield, CRNA
• Favorite M Garfinkel
• Edwin Jeffrey Garino, DDS

• Sports Medicine (Orthopaedic Surgery) Physician in Hackensack, NJ
• Providers in Hackensack, NJ by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2013; 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.