East Hudson Medical Care of New Jersey, LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

25MA04644800 Issued in NJ

Legal business name

EAST HUDSON MEDICAL CARE OF NEW JERSEY, LLC

Practice address

3196 Kennedy Blvd Ste 2
Union City, NJ 07087-2468

Phone

(201) 325-9393

NPI assigned

Apr 16, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Steven C Goldstein, M.D.

Title

Administrator

Phone

(917) 294-1611

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1334534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334534400000",
    "number": "1871850784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3196 KENNEDY BLVD STE 2",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070872468",
            "telephone_number": "201-325-9393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3196 KENNEDY BLVD STE 2",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070872468",
            "telephone_number": "201-325-9393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST HUDSON MEDICAL CARE OF NEW JERSEY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-16",
        "last_updated": "2012-04-16",
        "status": "A",
        "authorized_official_last_name": "GOLDSTEIN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "917-294-1611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NJ",
            "license": "25MA04644800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6648606",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chelsea Davis Dugan, M.S., CCC-SLP
• Daniel J Dussman, PT CHT
• Maria A Dutkiewicz, RPH
• Dynamic Care Physical Therapy & Sports Medicine Inc
• Dynamic Physical Therapy & Sports Clinic
• Ekta Ishan Corp
• Jermin Elbadry, PT, DPT
• Elderkare Medical Supplies LLC.
• Elevate & Evolve Wellness Center LLC
• Nivin Elias, M.D.

• Medical Specialty Clinic/Center in Union City, NJ
• Providers in Union City, NJ by specialty
• Medical Specialty Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2012; 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.