Organization Active NPI

Garden State Healthcare Associates, LLC

  • Emergency Medicine Physician
  • Bayonne, NJ
National Provider Identifier
1700014545
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0240231MedicaidNJ

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, CO24 enrollments

Enrollment records 24

Enrollment IDStateProvider typePAC IDDetails
O20100126000693 NJ Part B Supplier - Clinic/Group Practice 8426190687 Receives reassigned benefits from 669 practitioners
Practice locations: Bayonne, NJ; West Orange, NJ; West New York, NJ; Warren, NJ; Union City, NJ; Trenton, NJ; Secaucus, NJ; North Arlington, NJ…
O20151111002186 MD Part B Supplier - Clinic/Group Practice 8426190687 Receives reassigned benefits from 7 practitioners
Practice locations: Annapolis, MD; Ellicott City, MD; Laurel, MD; Towson, MD
O20151117000390 DC Part B Supplier - Clinic/Group Practice 8426190687 Receives reassigned benefits from 2 practitioners
Practice locations: Potomac, MD
O20151117001019 PA Part B Supplier - Clinic/Group Practice 8426190687 Receives reassigned benefits from 15 practitioners
Practice locations: Doylestown, PA; Gibsonia, PA; Glen Mills, PA; Media, PA; Penn Valley, PA; Philadelphia, PA; Pittsburgh, PA
O20180117000898 DE Part B Supplier - Clinic/Group Practice 8426190687 Receives reassigned benefits from 1 practitioner
Practice locations: Hockessin, DE
O20181210002175 CA Part B Supplier - Clinic/Group Practice 8426190687 Receives reassigned benefits from 9 practitioners
Practice locations: Irvine, CA; Laguna Niguel, CA; Newport Beach, CA; San Marcos, CA; Santa Monica, CA; West Hollywood, CA
O20181219002773 TX Part B Supplier - Clinic/Group Practice 8426190687 Receives reassigned benefits from 4 practitioners
Practice locations: Dallas, TX; Grand Prairie, TX; San Antonio, TX
O20190103000021 NY Part B Supplier - Clinic/Group Practice 8426190687 Receives reassigned benefits from 6 practitioners
Practice locations: New York, NY; Valley Stream, NY; Saint James, NY; Cutchogue, NY
O20190124000133 MA Part B Supplier - Clinic/Group Practice 8426190687 Receives reassigned benefits from 1 practitioner
Practice locations: West Newbury, MA
O20190403001579 FL Part B Supplier - Clinic/Group Practice 8426190687 Receives reassigned benefits from 9 practitioners
Practice locations: Delray Beach, FL; Fort Lauderdale, FL; Highland Beach, FL; Miami, FL; Naples, FL; Sarasota, FL; Tampa, FL
O20190617002560 AZ Part B Supplier - Clinic/Group Practice 8426190687 Receives reassigned benefits from 1 practitioner
Practice locations: Phoenix, AZ
O20230126003110 VA Part B Supplier - Clinic/Group Practice 8426190687 Receives reassigned benefits from 5 practitioners
Practice locations: Norfolk, VA; Virginia Beach, VA; Gainesville, VA; Chester, VA
O20230130002117 MI Part B Supplier - Clinic/Group Practice 8426190687 Receives reassigned benefits from 3 practitioners
Practice locations: Marquette, MI; Troy, MI
O20230131002270 OR Part B Supplier - Clinic/Group Practice 8426190687 Practice locations: Portland, OR
O20230719004203 ND Part B Supplier - Clinic/Group Practice 8426190687 Receives reassigned benefits from 1 practitioner
Practice locations: Grand Forks, ND
O20240611000929 NC Part B Supplier - Clinic/Group Practice 8426190687 Receives reassigned benefits from 1 practitioner
Practice locations: Apex, NC
O20250227001149 IL Part B Supplier - Clinic/Group Practice 8426190687 Receives reassigned benefits from 2 practitioners
Practice locations: Naperville, IL; Winnetka, IL
O20250228001885 GA Part B Supplier - Clinic/Group Practice 8426190687 Practice locations: Atlanta, GA
O20250303002035 AL Part B Supplier - Clinic/Group Practice 8426190687 Receives reassigned benefits from 2 practitioners
Practice locations: Dothan, AL; Vestavia, AL
O20250305001834 WA Part B Supplier - Clinic/Group Practice 8426190687 Receives reassigned benefits from 2 practitioners
Practice locations: Seattle, WA; Spokane, WA
O20250326003540 TN Part B Supplier - Clinic/Group Practice 8426190687 Receives reassigned benefits from 3 practitioners
Practice locations: Chattanooga, TN; Germantown, TN; Nashville, TN
O20250410002654 NV Part B Supplier - Clinic/Group Practice 8426190687 Receives reassigned benefits from 1 practitioner
Practice locations: Las Vegas, NV
O20250422002831 NM Part B Supplier - Clinic/Group Practice 8426190687 Receives reassigned benefits from 1 practitioner
Practice locations: Albuquerque, NM
O20250501000119 CO Part B Supplier - Clinic/Group Practice 8426190687 Receives reassigned benefits from 1 practitioner
Practice locations: Denver, CO

National Provider Directory

National Provider Directory

Locations

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.

View all 754

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.

Verify at the official NPI Registry.