Garden State Physicians

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA06750500 Issued in NJ

Legal business name

GARDEN STATE PHYSICIANS

Practice address

1002 Amboy Ave.
Edison, NJ 08837

Phone

(732) 274-1274

Fax

(732) 355-0321

NPI assigned

Oct 18, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Sonia Deora, D.O.

Title

Physician/Owner

Phone

(732) 274-1274

Specialties & licenses 2

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1287360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367280000000",
    "number": "1851601330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 AMBOY AVE.",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "08837",
            "telephone_number": "732-274-1274",
            "fax_number": "732-355-0321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 AMBOY AVE.",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "08837",
            "telephone_number": "732-274-1274",
            "fax_number": "732-355-0321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDEN STATE PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-18",
        "last_updated": "2013-04-30",
        "status": "A",
        "authorized_official_last_name": "DEORA",
        "authorized_official_first_name": "SONIA",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "732-274-1274",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB06893200",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA06750500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0189057",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Garden State I D LLC
• Garden State Infectious Diseases Consultants PC
• Garden State Medequip LLC
• Garden State Oncology,P.C.
• Garden State Pain Management Associates LLC
• Garden State Surgical Institute LLC
• Matthew J Garfinkel, M.D.
• Deep Garg, M.D.
• Dustin Garlock, DPT
• Deanna Rain Garrison

• Internal Medicine Physician in Edison, NJ
• Providers in Edison, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.