Garden State Medical Transportation, Inc

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

GARD00220 Issued in NJ

Legal business name

GARDEN STATE MEDICAL TRANSPORTATION, INC

Practice address

214 State St
Suite 203-B
Hackensack, NJ 07601-5500

Phone

(201) 488-0170

Fax

(201) 488-0172

NPI assigned

Sep 9, 2016

Last updated

Sep 9, 2016By 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. Russell A Culin Jr.

Title

President

Phone

(201) 488-0170

Specialties & licenses 1

Addresses

Other identifiers 3

Tax ID family

Garden State Medical Transportation2 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 Medical Transportation

  • Non-emergency Medical Transport (VAN)
  • Dumont, NJ
  • NPI 1356469415
  NPD tax ID

Locations

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

{
    "created_epoch": "1473379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473379200000",
    "number": "1699222406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 STATE ST",
            "address_2": "SUITE 203-B",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076015500",
            "telephone_number": "201-488-0170",
            "fax_number": "201-488-0172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 STATE ST",
            "address_2": "SUITE 203-B",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076015500",
            "telephone_number": "201-488-0170",
            "fax_number": "201-488-0172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDEN STATE MEDICAL TRANSPORTATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-09",
        "last_updated": "2016-09-09",
        "status": "A",
        "authorized_official_last_name": "CULIN",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-488-0170",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NJ",
            "license": "GARD00220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL PROVIDER NUMBER",
            "identifier": "1356469415",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ DEPARTMENT OF HEALTH",
            "identifier": "GARD00220",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6125701",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rayda Maria Garcia, AGNP-C
• Stephanie Garcia
• Stephanie M Garcia, AU.D.
• Tatiana Garcia, LPC
• Garden State Dental P.C.
• Garden State Orthocare LLC
• Garden State Women's Center
• Cesar Valente Garduque Jr., OTR
• Alli Madison Garfield, CRNA
• Favorite M Garfinkel

• Non-emergency Medical Transport (VAN) in Hackensack, NJ
• Providers in Hackensack, NJ by specialty
• Non-emergency Medical Transport (VAN) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2016; 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.