NPIMap

Organization Active NPI

Gaviota Corporation

  • Clinic/Center
  • Newark, NJ
National Provider Identifier
1710177068
Registry record updated Aug 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
GAVIOTA CORPORATION
Doing business as
gaviota clinic
Practice address
919 Franklin Ave
Newark, NJ 07107-4801
Phone
(973) 368-4130
NPI assigned
Aug 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2007

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

Authorized official

Name
Dr. Garis L Silega
Title
President
Phone
(973) 368-4130

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NJ Primary

Addresses

Primary practice location

919 Franklin Ave
Newark, NJ 07107-4801

Mailing address

559 Broadway Apt 12
Newark, NJ 07104-4151
Phone (973) 368-4130

Other names 1

  • gaviota clinic Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1185926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185926400000",
    "number": "1710177068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "559 BROADWAY APT 12",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071044151",
            "telephone_number": "973-368-4130",
            "fax_number": "973-732-0023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 FRANKLIN AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071074801",
            "telephone_number": "973-368-4130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAVIOTA CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-01",
        "last_updated": "2007-08-01",
        "status": "A",
        "authorized_official_last_name": "SILEGA",
        "authorized_official_first_name": "GARIS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-368-4130",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "gaviota clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2007; 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.