Organization Active NPI

Sanjeev Garg LLC

  • Neurology Physician
  • Kingston, PA
National Provider Identifier
1710487764
Registry record updated Apr 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
SANJEEV GARG LLC
Practice address
517 Pierce St
Kingston, PA 18704-5756
Phone
(570) 763-4690
NPI assigned
Feb 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2020

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

Authorized official

Name
Sangeev Garg, MD
Title
Sole Member
Phone
(570) 763-4690

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

517 Pierce St
Kingston, PA 18704-5756

Mailing address

517 Pierce St
Kingston, PA 18704-5756
Phone (570) 763-4690

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1518739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586390400000",
    "number": "1710487764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 PIERCE ST",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187045756",
            "telephone_number": "570-763-4690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 PIERCE ST",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187045756",
            "telephone_number": "570-763-4690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANJEEV GARG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-16",
        "last_updated": "2020-04-09",
        "certification_date": "2020-04-09",
        "status": "A",
        "authorized_official_last_name": "GARG",
        "authorized_official_first_name": "SANGEEV",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "570-763-4690",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2020; 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.