Garden State Specialty Care, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

GARDEN STATE SPECIALTY CARE, LLC

Practice address

1418 New Rd Ste 2
Northfield, NJ 08225-1179

Phone

(609) 796-2119

NPI assigned

Apr 14, 2017

Organization subpart

No

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

Authorized official

Name

Kimberly Miller

Title

Director of RCM

Phone

(248) 331-7908

Specialties & licenses 6

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Garden State Specialty Care, LLC

  • Surgery Physician
  • Northfield, NJ
  • NPI 1356107916

  O20170614000813

  Same enrollment

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christine Papastamelos, MD

  • Infectious Disease Physician
  • Linwood, NJ
  • NPI 1255997730

  Internal Medicine

  Medicare reassignment NPD
• Syed I Karim, M.D.

  • Emergency Medicine Physician
  • Hartford, WI
  • NPI 1497853634

  NJ

  Medicare reassignment NPD
• Saad Mohsin, MD

  • Hospitalist Physician
  • Janesville, WI
  • NPI 1043754310

  Family Medicine, NJ

  Medicare reassignment NPD
• Athanasios G. Papastamelos, DO

  • Infectious Disease Physician
  • Linwood, NJ
  • NPI 1821051277
  Medicare reassignment
• Matthew J. Finnegan, MD

  • Surgery Physician
  • Northfield, NJ
  • NPI 1003845223
  NPD
• John Walch Jr., NP

  • Nurse Practitioner
  • Galloway, NJ
  • NPI 1457073454
  NPD
• Kelley Tasca-Fiorelli

  • Primary Care Nurse Practitioner
  • Linwood, NJ
  • NPI 1568933125
  NPD (past)

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

{
    "created_epoch": "1492128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786320000000",
    "number": "1851825947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 779347",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606770440",
            "telephone_number": "248-607-0037",
            "fax_number": "734-462-0344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1418 NEW RD STE 2",
            "city": "NORTHFIELD",
            "state": "NJ",
            "postal_code": "082251179",
            "telephone_number": "609-796-2119"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 Hadley Rd Fl 3",
            "address_purpose": "LOCATION",
            "city": "South Plainfield",
            "state": "NJ",
            "postal_code": "070801183",
            "country_code": "US",
            "telephone_number": "888-402-0202",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "140 Littleton Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Parsippany",
            "state": "NJ",
            "postal_code": "070541867",
            "country_code": "US",
            "telephone_number": "888-402-0202",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3 Lincoln Hwy Ste 106B",
            "address_purpose": "LOCATION",
            "city": "Edison",
            "state": "NJ",
            "postal_code": "088203963",
            "country_code": "US",
            "telephone_number": "888-402-0202",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1195 Highway 70 Ste 1005",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "NJ",
            "postal_code": "087015946",
            "country_code": "US",
            "telephone_number": "888-402-0202",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5 Summit Ave Ste 204",
            "address_purpose": "LOCATION",
            "city": "Hackensack",
            "state": "NJ",
            "postal_code": "076011271",
            "country_code": "US",
            "telephone_number": "888-402-0202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GARDEN STATE SPECIALTY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-14",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "DIRECTOR OF RCM",
        "authorized_official_telephone_number": "248-331-7908"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NJ",
            "license": "25MB05436700",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Melanie Fumosa, LSW
• Madelyn Funkhouser, LSW, MSSW, CADC, CTP
• Pamela Lynne Gallagher, OTR/L, CHT
• Estefania Gallegos Warrington
• Garden State Specialty Care, LLC
• Generations Family Medicine
• Adam Ross Gillman, D.C.
• Bruce Gitto, LPC
• Joseph Gitto, D.C.
• Ellen Gottlich, LCSW

• Internal Medicine Physician in Northfield, NJ
• Providers in Northfield, 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 Aug 10, 2026; 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.