Active NPI
Garden State Healthcare Associates, LLC
- Emergency Medicine Physician
- Bayonne, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- GARDEN STATE HEALTHCARE ASSOCIATES, LLC
- Practice address
- 29 E 29TH St
Bayonne, NJ 07002-4654 - Phone
- (844) 242-7436
- Fax
- (201) 603-6677
- NPI assigned
- Jul 1, 2009
- Last updated
- Jan 30, 2024
- 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. Mark Spektor, D.O.
- Title
- Sole Owner
- Phone
- (201) 858-7111
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Primary | ||
| Cardiovascular Disease Physician | 207RC0000X | |||
| Clinical Pathology/Laboratory Medicine Physician | 207ZP0105X | |||
| Body Imaging Physician | 2085B0100X |
Addresses
Primary practice location
29 E 29TH St
Bayonne, NJ 07002-4654
Mailing address
308 Willow Avenue
Hoboken, NJ 07030-4654
Phone (201) 821-8717
Other practice location 1
308 Willow Avenue
Hoboken, NJ 07030
Phone (844) 427-4362
Other practice location 2
176 Palisade Avenue
Jersey City, NJ 07306
Phone (844) 427-4362
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0240231 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, MD, DC, PA, DE, CA, TX, NY, MA, FL, AZ, VA, MI, OR, ND, NC, IL, GA, AL, WA, TN, NV, NM, CO
Enrollment records 24
National Provider Directory
National Provider DirectoryLocations
2601 E Oakland Park Blvd
Ste 102
Ft Lauderdale, FL 33306
29 E 29th St
Ste 401
Bayonne, NJ 07002
Phone (917) 860-0587
172 Summerhill Rd
East Brunswick, NJ 08816
Phone (732) 238-6440
308 Willow Ave
Fl 6
Hoboken, NJ 07030
Phone (201) 418-1314
55 Meadowlands Pkwy
Fl 2
Secaucus, NJ 07094
Phone (201) 392-3361
Practitioners & affiliated clinicians
Practitioners 754
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.
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- NPI 1770754632
-
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- Hamilton Square, NJ
- NPI 1164428959
-
- Obstetrics & Gynecology Physician
- Hoboken, NJ
- NPI 1619911906
-
- Obstetrics & Gynecology Physician
- Hoboken, NJ
- NPI 1578598314
-
- Anesthesiology Physician
- Jersey City, NJ
- NPI 1245559459
-
- Psychiatric Hospital Unit
- Paramus, NJ
- NPI 1073713814
-
- Anatomic Pathology & Clinical Pathology Physician
- Union, NJ
- NPI 1891701504
-
- Trauma Surgery Physician
- Jersey City, NJ
- NPI 1073816351
-
- Family Medicine Physician
- New Brunswick, NJ
- NPI 1467911453
Single Specialty
-
- Specialist
- Jersey City, NJ
- NPI 1396785176
-
- Psychiatric/Mental Health Nurse Practitioner
- Vauxhall, NJ
- NPI 1366548141
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246406400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1706572800000",
"number": "1700014545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "308 WILLOW AVENUE",
"city": "HOBOKEN",
"state": "NJ",
"postal_code": "070304654",
"telephone_number": "201-821-8717",
"fax_number": "201-603-6688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 E 29TH ST",
"city": "BAYONNE",
"state": "NJ",
"postal_code": "070024654",
"telephone_number": "844-242-7436",
"fax_number": "201-603-6677"
}
],
"practiceLocations": [
{
"address_1": "308 Willow Avenue",
"address_purpose": "LOCATION",
"city": "Hoboken",
"state": "NJ",
"postal_code": "07030",
"country_code": "US",
"telephone_number": "844-427-4362",
"fax_number": "201-603-6677",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "176 Palisade Avenue",
"address_purpose": "LOCATION",
"city": "Jersey City",
"state": "NJ",
"postal_code": "07306",
"country_code": "US",
"telephone_number": "844-427-4362",
"fax_number": "201-603-6677",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "GARDEN STATE HEALTHCARE ASSOCIATES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-07-01",
"last_updated": "2024-01-30",
"certification_date": "2024-01-30",
"status": "A",
"authorized_official_last_name": "SPEKTOR",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "SOLE OWNER",
"authorized_official_telephone_number": "201-858-7111",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": false
},
{
"code": "207ZP0105X",
"taxonomy_group": "",
"desc": "Pathology, Clinical Pathology/Laboratory Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085B0100X",
"taxonomy_group": "",
"desc": "Radiology, Body Imaging",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0240231",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bayonne, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.