Active NPI
Garden State Healthcare Associates, LLC
- Physical Medicine & Rehabilitation Physician
- Jersey City, NJ
National Provider Identifier
1720854813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- GARDEN STATE HEALTHCARE ASSOCIATES, LLC
- Practice address
- 142 Palisade Ave
Jersey City, NJ 07306-1133 - Phone
- (201) 255-4568
- NPI assigned
- Nov 29, 2023
- Last updated
- Nov 29, 2023
- 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
- Frank Rodriguez
- Title
- System Director of Medical Staff
- Phone
- (201) 821-8717
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | NU | Primary |
Addresses
Primary practice location
142 Palisade Ave
Jersey City, NJ 07306-1133
Mailing address
308 Willow Ave
Hoboken, NJ 07030-3808
Phone (201) 821-8717
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701216000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1701216000000",
"number": "1720854813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "308 WILLOW AVE",
"city": "HOBOKEN",
"state": "NJ",
"postal_code": "070303808",
"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": "142 PALISADE AVE",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073061133",
"telephone_number": "201-255-4568"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GARDEN STATE HEALTHCARE ASSOCIATES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-29",
"last_updated": "2023-11-29",
"certification_date": "2023-11-29",
"status": "A",
"authorized_official_last_name": "RODRIGUEZ",
"authorized_official_first_name": "FRANK",
"authorized_official_title_or_position": "SYSTEM DIRECTOR OF MEDICAL STAFF",
"authorized_official_telephone_number": "201-821-8717"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jersey City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.